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

Sissie Diane Johnson

Individual provider Personal Care Attendant · NPI 1114640190

Sissie Diane Johnson is a Personal Care Attendant in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2022

Practice location Address checks out

16 Mountain Park Dr
Fairmont, WV 26554-8992
Phone: (304) 816-3687
Show map & directions

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

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X · Licence E949982 (WV)

Record details

NPI number1114640190
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 23, 2022
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022

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