Search › Illinois › 164W00000X
Nicole Johnson, LPN
NPI 1336603109 · on the registry since 2019 · sole proprietor
Practice
- Address
- 11531 Sunderland Rd
Marion, IL 62959 - Phone
- (618) 201-9907
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois