Emery Leroy Johnson Jr.
Individual provider Active NPI Licensed Practical Nurse · Transfer, PA
NPI 1003391731 · NPPES record last updated Sep 28, 2018
Key facts
- NPI
- 1003391731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN274204 (PA)
- Practice address
- 3676 N Hermitage Rd
Transfer, PA 16154-1852 - Phone
- (330) 726-0700
- NPI assigned
- Sep 28, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN274204 | PA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN274204 | PA | Yes |
Addresses
Primary practice location
3676 N Hermitage Rd
Transfer, PA 16154-1852
Mailing address
136 Fetsko Rd
West Middlesex, PA 16159-2306
Phone (724) 854-1435
Other providers in Transfer, PA
- Joyce L Eckard
- Edgewood Professional Services LLC
- Susan V Estrada-Te
- Christina Lynn Hoover
- Hallie Marie Hudson
- Zachary Johnson
- Steven Jordan
- James J Kolenich
- Tammy Harris Lantz
- Daryl W List
All providers in Transfer, PA · Licensed Practical Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.