Lore Johns, L.P.N.
Individual provider Active NPI Licensed Practical Nurse · Jasper, FL
NPI 1013312420 · NPPES record last updated Oct 28, 2014
Key facts
- NPI
- 1013312420
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN 5206079 (FL)
- Practice address
- 5683 US Highway 129 S
Jasper, FL 32052-6793 - Phone
- (386) 792-6540
- NPI assigned
- Oct 28, 2014
- Sex
- Female
- 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 |
|---|---|---|---|
| PN 5206079 | FL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 5206079 | FL | Yes |
Addresses
Primary practice location
5683 US Highway 129 S
Jasper, FL 32052-6793
Mailing address
209 Central Ave SE
Jasper, FL 32052-6153
Phone (386) 792-1414
Other providers in Jasper, FL
- Jamyras Homemaker & Companion Service
- Jasper FL Opco LLC
- Jasper Medical Group, LLC
- Jhawks Homemaker and Companionship
- Jhawks Transportation
- Ashley Paige Jones
- Pamela Joy Kiselica
- Live Oak Hma LLC
- Live Oak Hma LLC
- Live Oak Immediate Care Center LLC
All providers in Jasper, FL · Licensed Practical Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2014. 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.