National Provider Identifier
Khadedra D Brown Johnson, LPN
Khadedra D Brown 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) 287-4291.
Profile Overview
- NPI
- 1871059089
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 12, 2019
- Last Updated
- February 12, 2019
Practice Location
- 451 Mount Read Blvd
- Rochester, NY 14606-1413
Phone: (585) 287-4291
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1871059089
- Entity Type
- Individual
- Last Name
- Brown Johnson
- First Name
- Khadedra
- Middle Name
- D
- Name Prefix
- Mrs.
- Credential
- LPN
- Provider Other Last Name
- Brown Johnson
- Provider Other First Name
- Khadedra
- Provider Other Middle Name
- D
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 451 Mount Read Blvd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-1413
- Mailing Country
- US
- Mailing Phone
- (585) 287-4291
- Practice Street Address
- 451 Mount Read Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-1413
- Practice Country
- US
- Practice Phone
- (585) 287-4291
- Enumeration Date
- February 12, 2019
- Last Updated
- February 12, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)