National Provider Identifier
Krystal Sharee Johnson
Krystal Sharee 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) 414-4374.
Profile Overview
- NPI
- 1275246936
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 27, 2022
- Last Updated
- December 27, 2022
Practice Location
- 558 Driving Park Ave
- Rochester, NY 14613-1536
Phone: (585) 414-4374
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1275246936
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Krystal
- Middle Name
- Sharee
- Mailing Street Address
- 558 Driving Park Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14613-1536
- Mailing Country
- US
- Mailing Phone
- (585) 414-4374
- Practice Street Address
- 558 Driving Park Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14613-1536
- Practice Country
- US
- Practice Phone
- (585) 414-4374
- Enumeration Date
- December 27, 2022
- Last Updated
- December 27, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 27, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)