| Shane Johnson, | |
|
927 Smith Ave Sw, Canton, OH 44706-1468 | |
| (234) 300-1630 | |
| Not Available |
| Full Name | Shane Johnson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 927 Smith Ave Sw, Canton, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508258567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN-143859-M-IV (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Johnson, 927 Smith Ave Sw, Canton, OH 44706-1468 Ph: (234) 300-1630 | Shane Johnson, 927 Smith Ave Sw, Canton, OH 44706-1468 Ph: (234) 300-1630 |
Kelly Wolke, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2421 13th St Nw, Canton, OH 44708 Phone: 330-588-2207 | |
Larissa Ross, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 | |
Phillip Michael Dalrymple, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw Fl 6, Canton, OH 44710 Phone: 330-830-3393 Fax: 234-521-7091 | |
Mrs. Nicole Marie Ady, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 733 Market Ave S, Canton, OH 44702 Phone: 330-489-4600 | |
Loretta King, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3115 25th St Se, Canton, OH 44707 Phone: 330-705-5114 | |
Jessica Austin, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 | |
Mrs. Dyan Marie Tucci, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-2377 |