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

Serina Johnson

Individual provider Licensed Practical Nurse · NPI 1295320489

Serina Johnson is a Licensed Practical Nurse in Edgewood, New Mexico. Licensed in Colorado. Registered with an NPI since 2021.

Licensed in
CO
In the registry since
2021

Practice location Address checks out

104 Quail Trl Unit B
Edgewood, NM 87015
Phone: (505) 208-0204
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 PN.0045666 (CO)

Record details

NPI number1295320489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021
Mailing address104 Quail Trail, Unit B, Edgewood, NM 87015