National Provider Identifier

Jyia Maria Johnson

Jyia Maria Johnson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 754-0228.

NPI 1114617966Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1114617966
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 15, 2023
Last Updated
May 15, 2023

Practice Location

  • 10 Cheshire Ln
  • Rochester, NY 14624-2957

Phone: (585) 754-0228

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1114617966
Entity Type
Individual
Last Name
Johnson
First Name
Jyia
Middle Name
Maria
Mailing Street Address
10 Cheshire Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-2957
Mailing Country
US
Mailing Phone
(585) 754-0228
Practice Street Address
10 Cheshire Ln
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-2957
Practice Country
US
Practice Phone
(585) 754-0228
Enumeration Date
May 15, 2023
Last Updated
May 15, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
May 09, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)