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

Individual provider Speech-Language Pathologist · NPI 1962178111

Miss. Nicolle Marie Johnson is a Speech-Language Pathologist in Staten Island, New York. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

384 N Railroad Ave
Staten Island, NY 10304-4145
Phone: (646) 533-9645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1962178111
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021

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