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

Mrs. Ebony Talise Johnson, BSN-RN

Individual provider School Registered Nurse · NPI 1922813401

Mrs. Ebony Talise Johnson, BSN-RN is a School Registered Nurse in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois and Indiana.

Licensed in
IL, IN
In the registry since
2025
Specialties on file
7

Practice location Address checks out

1216 W 97th Pl
Chicago, IL 60643
Phone: (708) 543-0632
Show map & directions

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

Specialties & licences

Home Infusion Agency (primary) Taxonomy 251F00000X · Licence 041418831 (IL)
School Registered Nurse Taxonomy 163WS0200X · Licence 041418831 (IL)
Home Infusion Agency Taxonomy 251F00000X · Licence 28293616A (IN)
Infusion Therapy Clinic/Center Taxonomy 261QI0500X · Licence 041418831 (IL)
Continuing Education/Staff Development Registered Nurse Taxonomy 163WC1600X · Licence 041418831 (IL)
Infusion Therapy Registered Nurse Taxonomy 163WI0500X · Licence 28293616A (IN)
Infusion Therapy Registered Nurse Taxonomy 163WI0500X · Licence 041418831 (IL)

Record details

NPI number1922813401
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSN-RN
Sole proprietorYes
NPI enumeratedFebruary 11, 2025
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 6, 2025

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