SHAWNAKA JOHNSON


Address: 12007 Lisborough Rd, Bowie, MD 20720-3499
Phone: 2406032923

SHAWNAKA JOHNSON (NPI# 1578109484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578109484
Entity Type Individual
Full Name SHAWNAKA JOHNSON
Credential RN
Practice Address 12007 Lisborough Rd
Bowie
MD 20720-3499
Practice Telephone 2406032923
Mailing Telephone 2406032923
Enumeration Date 2019-11-26
Last Update Date 2019-11-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0200X Registered Nurse
Specialization: Pediatrics
R226686 MD Nursing Service Providers

Office Location

Street Address 12007 LISBOROUGH RD
City BOWIE
State MD
Zip Code 20720-3499

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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City BOWIE
Zip Code 20720

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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