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NPI Code Detail

MEDICARE: MS. TRENA JOHNSON LPN

MEDICARE:  MS. TRENA  JOHNSON  LPN
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
1164W00000XLicensed Practical NursePN151385OH

General Provider Information

NPI Number : 1932591757
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRENA JOHNSON LPN
Provider Business Mailing Address
First Line : 1941 ARDENRUN WAY
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-2902
Country : US
Telephone Number : 614-290-6033
Fax Number :
Provider Business Practice Location Address
First Line : 1941 ARDENRUN WAY
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-2902
Country : US
Telephone Number : 614-290-6033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2015
Last Update Date : 03/03/2015

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Directions to “ MS. TRENA JOHNSON LPN” Practice Location

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