Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coretha Smith-Johnson, MASTERPUBLICHEALTH

Individual provider Nursing Home Administrator · NPI 1528817004

Coretha Smith-Johnson, MASTERPUBLICHEALTH is a Nursing Home Administrator in Philadelphia, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6603 Souder St
Philadelphia, PA 19149-2207
Phone: (215) 280-0867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Home Administrator (primary) Taxonomy 376G00000X

Record details

NPI number1528817004
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASTERPUBLICHEALTH
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

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