Allysa Kylee Johnson, LPN
Individual provider Active NPI Licensed Practical Nurse · Corry, PA
NPI 1962048264 · NPPES record last updated Nov 21, 2019
Key facts
- NPI
- 1962048264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 337007 (NY)
- Practice address
- 221 1/2 Mott St
Corry, PA 16407-1540 - Phone
- (716) 489-6602
- NPI assigned
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 337007 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 337007 | NY | Yes |
Addresses
Primary practice location
221 1/2 Mott St
Corry, PA 16407-1540
Mailing address
221 1/2 Mott St
Corry, PA 16407-1540
Phone (716) 489-6602
Other providers in Corry, PA
- Caitlin Bri Hollis
- Ching Wu Hou
- Steven Huff
- Alyssa Hutchinson
- Iadeluca Chiropractic Center Corry PC
- Carol Johnson
- Karl E Streilein Optometry, PC
- Matthew Eugene Kellogg
- Cassandra Kiser
- John Joseph Kozik
All providers in Corry, 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 Nov 21, 2019. 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.