National Provider Identifier

Yachica Montia Johnson, LPN

Yachica Montia Johnson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Henrietta, NY and a listed phone number of (585) 698-0609.

NPI 1326669979Henrietta, NYLicensed Practical Nurse

Profile Overview

NPI
1326669979
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 05, 2020
Last Updated
May 05, 2020

Practice Location

  • 73 Campfire RD N
  • Henrietta, NY 14467-9523

Phone: (585) 698-0609

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1326669979
Entity Type
Individual
Last Name
Johnson
First Name
Yachica
Middle Name
Montia
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
73 Campfire RD N
Mailing City
Henrietta
Mailing State
NY
Mailing ZIP Code
14467-9523
Mailing Country
US
Mailing Phone
(585) 698-0609
Practice Street Address
73 Campfire RD N
Practice City
Henrietta
Practice State
NY
Practice ZIP Code
14467-9523
Practice Country
US
Practice Phone
(585) 698-0609
Enumeration Date
May 05, 2020
Last Updated
May 05, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
May 05, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)