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

Mr. Jeremy Michael Johnson, LPN

Individual provider Licensed Practical Nurse · NPI 1083897011

Mr. Jeremy Michael Johnson, LPN is a Licensed Practical Nurse in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

3401 N 67th Ave
Phoenix, AZ 85033-4517
Phone: (623) 691-4085
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LP031774 (AZ)

Record details

NPI number1083897011
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedDecember 13, 2007
Last updated in NPPESDecember 13, 2007

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