Provider Demographics
NPI:1588986285
Name:JOHNS, PATRICIA MARGRET (LPN)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MARGRET
Last Name:JOHNS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10457 BERNARD ST
Mailing Address - Street 2:
Mailing Address - City:FILLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14735-8710
Mailing Address - Country:US
Mailing Address - Phone:585-567-4743
Mailing Address - Fax:
Practice Address - Street 1:10457 BERNARD ST
Practice Address - Street 2:
Practice Address - City:FILLMORE
Practice Address - State:NY
Practice Address - Zip Code:14735-8710
Practice Address - Country:US
Practice Address - Phone:585-567-4743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264251-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse