National Provider Identifier

Tishanna Johnson, LPN

Tishanna Johnson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 754-3353.

NPI 1558506758Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1558506758
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 03, 2008
Last Updated
December 12, 2011

Practice Location

  • 180 Roxborough RD
  • Rochester, NY 14619-1418

Phone: (585) 754-3353

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1558506758
Entity Type
Individual
Last Name
Johnson
First Name
Tishanna
Name Prefix
MS.
Credential
LPN
Mailing Street Address
180 Roxborough RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1418
Mailing Country
US
Mailing Phone
(585) 754-3353
Practice Street Address
180 Roxborough RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1418
Practice Country
US
Practice Phone
(585) 754-3353
Enumeration Date
December 03, 2008
Last Updated
December 12, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)