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

Shaina Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104530534

Shaina Johnson is a Student in an Organized Health Care Education/Training Program in Brookhaven, Georgia. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

705 Town Blvd NE Apt 257
Brookhaven, GA 30319-3064
Phone: (516) 554-4700
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104530534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 10, 2023
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023
Mailing address705 Town Blvd Ne Apt 257, Brookhaven, GA 30319-3064

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