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

Thornell Johnson I

Individual provider Licensed Practical Nurse · NPI 1063203099

Thornell Johnson I is a Licensed Practical Nurse in LA Plata, Maryland. Licensed in Maryland. Registered with an NPI since 2025.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

906 Hickory Cir
LA Plata, MD 20646-3213
Phone: (240) 715-2852
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 LP53308 (MD)

Record details

NPI number1063203099
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2025
Last updated in NPPESMay 17, 2025
Certification dateMay 16, 2025
Mailing address906 Hickory Cir, La Plata, MD 20646-3213

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