Shanita Shantay Johnson, is a
Licensed Practical Nurse based in Mount Pleasant, Texas. Shanita Shantay Johnson is licensed to practice in Texas (license number 347035) and her current practice location is
210 Clayton Ave, Mount Pleasant, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 855-9637.
NPI number for Shanita Shantay Johnson is 1245794031 and her current mailing address is 210 Clayton Ave, Mount Pleasant, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245794031.
Provider's Profile
Full Name | Shanita Shantay Johnson |
---|
Gender | Female |
---|
Speciality | Licensed Practical Nurse |
---|
Location | 210 Clayton Ave, Mount Pleasant, Texas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245794031
- Provider Enumeration Date: 01/25/2019
- Last Update Date: 01/25/2019
Medical Identifiers
Medical identifiers for Shanita Shantay Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245794031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 347035 (Texas) | 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. Shanita Shantay 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 |
Shanita Shantay Johnson, 210 Clayton Ave, Mount Pleasant, TX 75455-3732 Ph: () - | Shanita Shantay Johnson, 210 Clayton Ave, Mount Pleasant, TX 75455-3732 Ph: (903) 855-9637 |
Reviews and Comments