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

Nicole Nyesha Johnson, LPN

Individual provider Licensed Psychiatric Technician · NPI 1639908882

Nicole Nyesha Johnson, LPN is a Licensed Psychiatric Technician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024
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

514 S 57th St # A
Philadelphia, PA 19143-1928
Phone: (215) 617-5996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence PN295419 (PA)

Record details

NPI number1639908882
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedJuly 27, 2024
Last updated in NPPESJuly 27, 2024
Certification dateJuly 27, 2024

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