TELISHA JOHNSON


Address: 7600 Se Crain Hwy, Upper Marlboro, MD 20772-4232
Phone: 3016276603

TELISHA JOHNSON (NPI# 1770066086) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AC002448 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7600 SE CRAIN HWY
City UPPER MARLBORO
State MD
Zip Code 20772-4232

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City UPPER MARLBORO
Zip Code 20772

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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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