Most Relevant Information
Provider Data
| NPI Number: | 1003434176 |
| Provider Name: | SHARONDA SHANISE JOHNSON NURSING ASSISTANT |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | 124 |
Most Important Dates
| Enumeration Date: | 07/06/2020 |
| Last Updated: | 10/13/2021 |
Provider Practice Location
325 E 15TH ST
APOPKA
FL
327037114
Practice Location Phone/Fax
| Phone: | 3213162998 |
| Fax: |
Provider Mailing Location
1070 MONTGOMERY RD
ALTAMONTE SPRINGS
FL
327147420
Provider Mailing Phone/Fax
| Phone: | 4079021307 |
| Fax: |