National Provider Identifier
Shantee Latrice Johnson, RN
Shantee Latrice Johnson, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 530-9581.
Profile Overview
- NPI
- 1477861789
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- September 21, 2010
- Last Updated
- September 06, 2024
Practice Location
- 1956 N Clinton Ave
- Rochester, NY 14621-1008
Phone: (585) 530-9581
Specialties
- Registered Nurse (163W00000X)
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1477861789
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Shantee
- Middle Name
- Latrice
- Credential
- RN
- Provider Other Last Name
- Webb
- Provider Other First Name
- Shantee
- Provider Other Middle Name
- Latrice
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1956 N Clinton Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-1008
- Mailing Country
- US
- Mailing Phone
- (585) 635-2539
- Practice Street Address
- 1956 N Clinton Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1008
- Practice Country
- US
- Practice Phone
- (585) 530-9581
- Enumeration Date
- September 21, 2010
- Last Updated
- September 06, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 06, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X), Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 03261438 (NY)