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NPI Code Detail

MEDICARE: YAZMEEN JOHNSON LPN

MEDICARE:   YAZMEEN  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 Nurse176449OH

General Provider Information

NPI Number : 1083442719
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAZMEEN JOHNSON LPN
Provider Business Mailing Address
First Line : 6545 MARKET AVE N STE 100
Second Line :
City : CANTON
State : OH
Zip : 44721-2430
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 139 SOUTHWIND CT
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-3127
Country : US
Telephone Number : 858-833-7868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2024
Last Update Date : 01/30/2026

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Directions to “ YAZMEEN JOHNSON LPN” Practice Location

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