TELISHA JOHNSON (NPI# 1770066086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770066086 |
Entity Type | Individual |
Full Name | TELISHA JOHNSON |
Credential | APRN |
Practice Address |
7600 Se Crain Hwy Upper Marlboro MD 20772-4232 |
Mailing Address |
2001 Butterfield Rd Ste 300 Downers Grove IL 60515-1069 |
Practice Telephone | 3016276603 |
Mailing Telephone | 6307252730 |
Mailing Fax Number | 8442055691 |
Enumeration Date | 2018-09-12 |
Last Update Date | 2019-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AC002448 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7600 SE CRAIN HWY |
City | UPPER MARLBORO |
State | MD |
Zip Code | 20772-4232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
Find all providers in zip 20772 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306469457 | Completely Centered Health LLC | Nurse Practitioner | 1116 Mandarin Dr, Upper Marlboro, MD 20774-7024 | 2020-05-23 |
1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
1306472717 | Tiffany Gladys Dirickson-ford | Nurse Practitioner | 14638 Hawley Ln, Upper Marlboro, MD 20774-8880 | 2020-03-17 |
1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
1154962157 | Monique Deon Johnson | Nurse Practitioner | 39 Staton Dr, Upper Marlboro, MD 20774-1755 | 2019-10-01 |
1184278947 | Laura Nwokeafor | Nurse Practitioner | 15601 Humberside Way, Upper Marlboro, MD 20774-8050 | 2019-07-30 |
1740847805 | Celestina Ojirinnaka | Nurse Practitioner | 2714 Lake Forest Dr, Upper Marlboro, MD 20774-8854 | 2019-05-23 |
1417429929 | Henrietta Chikere | Nurse Practitioner | 9712 Teakwood Dr, Upper Marlboro, MD 20774-2294 | 2018-12-21 |
1417436684 | Nneka Bagwell | Nurse Practitioner | 13806 Shannock Ln, Upper Marlboro, MD 20774-8468 | 2018-08-08 |
1376048348 | Marie Fayette Charles | Nurse Practitioner | 2607 Beech Orchard Ln, Upper Marlboro, MD 20774-8851 | 2018-03-29 |
Find all providers in UPPER MARLBORO |
City | UPPER MARLBORO |
Zip Code | 20772 |
Please comment or provide details below to improve the information on TELISHA JOHNSON.
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.