Provider Demographics
NPI:1871477174
Name:JOHNSON, NASHEIRA DYLANNA (RN)
Entity type:Individual
Prefix:
First Name:NASHEIRA
Middle Name:DYLANNA
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 HALSTED ST APT 314
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-3588
Mailing Address - Country:US
Mailing Address - Phone:212-390-1873
Mailing Address - Fax:
Practice Address - Street 1:129 HALSTED ST APT 314
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-3588
Practice Address - Country:US
Practice Address - Phone:212-390-1873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY904346163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool