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

Mrs. Shallon Tennille Johnson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1104660273

Mrs. Shallon Tennille Johnson, FNP-C is a Nurse Practitioner in North Jackson, Ohio. Qualified in 2024, 2 years ago. Practices with Sch Professional Corporation, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

10850 Mahoning Ave
North Jackson, OH 44451-8705
Phone: (330) 331-4966
Fax: (234) 888-7281
Show map & directions

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

Additional practice locations (1)

  • 5760 Patriot Blvd, Austintown, OH 44515-1170 — (330) 953-0243

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0037086 (OH)

Record details

NPI number1104660273
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 22, 2024
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sch Professional Corporation — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in North Jackson