Stephanie Candice Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5228622 Issued in FL

Practice address

6204 Central Church Rd
Douglasville, GA 30135-3374

Phone

(352) 678-9988

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1619621141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 CENTRAL CHURCH RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353374",
            "telephone_number": "352-678-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 CENTRAL CHURCH RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353374",
            "telephone_number": "352-678-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "CANDICE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5228622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Johnson, LCSW
• Jacqueline Johnson
• Jasmine Johnson
• Matthew Johnson
• Sharlene Vanessa Johnson, DPT
• Sylvie Johnson, AGACNP-C
• Tonicka Lenay Johnson
• Yolaunda Johnson
• Jones Medical and Educational Consultants
• Arthur Jones

• Licensed Practical Nurse in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.