Individual
TIFFANY SHEREE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 N PROGRESS AVE, HARRISBURG, PA 17110-9100
(717) 233-7290
Mailing address
6191 SPRING KNOLL DR, HARRISBURG, PA 17111-6863
(717) 364-9981
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN271107
PA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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