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

Elliot Laine Johnson

Individual provider Critical Care Medicine Registered Nurse · NPI 1871419861

Elliot Laine Johnson is a Critical Care Medicine Registered Nurse in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2026.

Licensed in
WV
In the registry since
2026

Practice location Address checks out

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone: (304) 610-5087
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 99235 (WV)

Record details

NPI number1871419861
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2026
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

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