Altay Nikkisha Jones Johnson, LVN is a
Licensed Vocational Nurse based in San Ysidro, California. Altay Nikkisha Jones Johnson is licensed to practice in California (license number 260204) and her current practice location is
3055 Iris Ave Unit D, San Ysidro, California. She can be reached at her office (for appointments etc.) via phone at
(619) 794-6362.
NPI number for Altay Nikkisha Jones Johnson is 1891137386 and her current mailing address is 3055 Iris Ave Unit D, San Ysidro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891137386.
Provider's Profile
Full Name | Altay Nikkisha Jones Johnson |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 3055 Iris Ave Unit D, San Ysidro, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891137386
- Provider Enumeration Date: 07/24/2013
- Last Update Date: 07/24/2013
Medical Identifiers
Medical identifiers for Altay Nikkisha Jones Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891137386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 260204 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Altay Nikkisha Jones Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Altay Nikkisha Jones Johnson, LVN 3055 Iris Ave Unit D, San Ysidro, CA 92173-1146 Ph: (619) 794-6362 | Altay Nikkisha Jones Johnson, LVN 3055 Iris Ave Unit D, San Ysidro, CA 92173-1146 Ph: (619) 794-6362 |
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