Individual
CHRISTINA KATHLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
880 E 2ND ST, JAMESTOWN, NY 14701-3824
(716) 661-1590
(716) 661-1495
Mailing address
200 DUNHAM AVE, JAMESTOWN, NY 14701-2528
(716) 661-1590
(716) 661-1495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320262
STATE LICENSE NUMBER
NY
Enumeration date
04/17/2017
Last updated
04/17/2017
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