Tynnira Johnson, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

26NR11515800 Issued in NJ

Practice address

1235 Whitehorse Mercerville Rd Ste 310
Trenton, NJ 08619-3810

Phone

(609) 581-6610

Fax

(609) 581-6620

NPI assigned

May 10, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1013765387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 WHITEHORSE MERCERVILLE RD STE 310",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193810",
            "telephone_number": "609-581-6610",
            "fax_number": "609-581-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 WHITEHORSE MERCERVILLE RD STE 310",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193810",
            "telephone_number": "609-581-6610",
            "fax_number": "609-581-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TYNNIRA",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NJ",
            "license": "26NR11515800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarek Lee Johnson, PT, DPT
• Jennifer Latrice Johnson
• Judith Johnson
• Nemiah Ronald Johnson, AA
• Shakita Johnson
• Jon E Courtney Mdpa
• Jon San Corporation
• Jones & Taylor Lifecare Connections
• Lynn Jones-Sandler, MSS, LSW
• Bernice Jones

• Administrator Registered Nurse in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Administrator Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.