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

Imani Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417761602

Imani Johnson is a Student in an Organized Health Care Education/Training Program in Shady Side, Maryland. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1200 Grove Ave
Shady Side, MD 20764-9536
Phone: (323) 629-5749
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417761602
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2025
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 3, 2025
Mailing address1200 Grove Ave, Shady Side, MD 20764-9536