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NPI Code Detail

MEDICARE: KEISHA LYNNETTA JOHNSON MPH, CHES

MEDICARE:   KEISHA LYNNETTA JOHNSON  MPH, CHES
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
1374J00000XDoula
2174H00000XHealth Educator

General Provider Information

NPI Number : 1700531472
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEISHA LYNNETTA JOHNSON MPH, CHES
Provider Business Mailing Address
First Line : 14623 SANOUR DR
Second Line :
City : HOUSTON
State : TX
Zip : 77084-3048
Country : US
Telephone Number : 678-675-5858
Fax Number :
Provider Business Practice Location Address
First Line : 14623 SANOUR DR
Second Line :
City : HOUSTON
State : TX
Zip : 77084-3048
Country : US
Telephone Number : 678-675-5858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2022
Last Update Date : 02/21/2022

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Directions to “ KEISHA LYNNETTA JOHNSON MPH, CHES” Practice Location

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