Sharon Beulah Johnson, is a
Licensed Practical Nurse based in Gardena, California. Sharon Beulah Johnson is licensed to practice in California (license number 170572) and her current practice location is
1307 W 184th St, Gardena, California. She can be reached at her office (for appointments etc.) via phone at
(310) 817-4475.
NPI number for Sharon Beulah Johnson is 1265710461 and her current mailing address is 1307 W 184th St, Gardena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265710461.
Provider's Profile
| Full Name | Sharon Beulah Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 1307 W 184th St, Gardena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265710461
- Provider Enumeration Date: 07/22/2011
- Last Update Date: 07/22/2011
Medical Identifiers
Medical identifiers for Sharon Beulah Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265710461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 170572 (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. Sharon Beulah 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 |
|---|
Sharon Beulah Johnson,
1307 W 184th St,
Gardena, CA 90248-4017
Ph: (310) 817-4475 | Sharon Beulah Johnson,
1307 W 184th St,
Gardena, CA 90248-4017
Ph: (310) 817-4475 |
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