National Provider Identifier

Morisha Johnson

Morisha 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) 465-7640.

NPI 1124468053Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1124468053
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 25, 2013
Last Updated
July 23, 2021

Practice Location

  • 772 Atlantic Ave
  • Rochester, NY 14609-7418

Phone: (585) 465-7640

Mailing Address

  • 19 Cummings St
  • Rochester, NY 14609-4038

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1124468053
Entity Type
Individual
Last Name
Johnson
First Name
Morisha
Mailing Street Address
19 Cummings St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-4038
Mailing Country
US
Practice Street Address
772 Atlantic Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-7418
Practice Country
US
Practice Phone
(585) 465-7640
Practice Fax
(585) 325-6059
Enumeration Date
June 25, 2013
Last Updated
July 23, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
July 23, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
03636940 (NY)