National Provider Identifier
Shawntalae Johnson, LPN
Shawntalae Johnson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in W Henrietta, NY and a listed phone number of (585) 719-6875.
Source: public NPPES record, last updated February 20, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1104199272
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 20, 2012
- Last Updated
- February 20, 2012
Practice Location
- 26 Blazing Star Cir
- W Henrietta, NY 14586-9335
Phone: (585) 719-6875
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Shawntalae Johnson is a Rochester-area licensed practical nurse. Local reporting during the COVID-19 pandemic described her as a hospital nurse in suburban Rochester caring for people with COVID-19, and she has also been publicly identified as a community business co-owner through Rochester’s Vault Cafe & Cabaret.
Full Record
- NPI
- 1104199272
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Shawntalae
- Credential
- LPN
- Mailing Street Address
- 26 Blazing Star Cir
- Mailing City
- W Henrietta
- Mailing State
- NY
- Mailing ZIP Code
- 14586-9335
- Mailing Country
- US
- Mailing Phone
- (585) 719-6875
- Practice Street Address
- 26 Blazing Star Cir
- Practice City
- W Henrietta
- Practice State
- NY
- Practice ZIP Code
- 14586-9335
- Practice Country
- US
- Practice Phone
- (585) 719-6875
- Enumeration Date
- February 20, 2012
- Last Updated
- February 20, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)