Nikkita Chennille Johnson-neealy, LPN is a
Licensed Practical Nurse based in Dolton, Illinois. Nikkita Chennille Johnson-neealy is licensed to practice in Illinois (license number 043.087417) and her current practice location is
1109 E 156th St, Dolton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 454-8514.
NPI number for Nikkita Chennille Johnson-neealy is 1912103920 and her current mailing address is 1458 W 123rd St, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912103920.
Provider's Profile
| Full Name | Nikkita Chennille Johnson-neealy |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1109 E 156th St, Dolton, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912103920
- Provider Enumeration Date: 06/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Nikkita Chennille Johnson-neealy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912103920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 043.087417 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nikkita Chennille Johnson-neealy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nikkita Chennille Johnson-neealy, LPN 1458 W 123rd St, Chicago, IL 60643-5768 Ph: (773) 454-8514 | Nikkita Chennille Johnson-neealy, LPN 1109 E 156th St, Dolton, IL 60419-2777 Ph: (773) 454-8514 |
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