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NPI Code Detail

MEDICARE: SHERI MONIQUE JOHNSON RN

MEDICARE:   SHERI MONIQUE JOHNSON  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorRN582845PA
2163WC0400XCase Management Registered NurseRN582845PA
3163WC1600XContinuing Education/Staff Development Registered NurseRN582845PA
4163W00000XRegistered NurseRN582845PA

General Provider Information

NPI Number : 1306068770
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERI MONIQUE JOHNSON RN
Provider Business Mailing Address
First Line : 607 BRIGHTON ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-4020
Country : US
Telephone Number : 215-779-0202
Fax Number :
Provider Business Practice Location Address
First Line : 160 E ERIE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-1011
Country : US
Telephone Number : 215-427-4347
Fax Number : 215-427-3657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 01/06/2026

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