KENYATTA JOHNSON

Licensed Practical Nurse

Active Individual
NPI: 1316764863

Practice Address

254A LAKE AVE
Staten Island, NY 10303

Phone: (718) 502-7608

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 351207 (NY)

Frequently Asked Questions

NPI 1316764863 is the National Provider Identifier for KENYATTA JOHNSON, a Licensed Practical Nurse provider located in Staten Island, NY. This NPI was enumerated on September 25, 2024.
KENYATTA JOHNSON practices at 254A LAKE AVE, Staten Island, NY 10303.

Quick Facts

NPI
1316764863
Type
Individual
Enumerated
Sep 25, 2024
Last Updated
Sep 25, 2024

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