Andraes N Johnson , LPN
Licensed Practical Nurse • Hephzibah, GA
Professional Overview & Biography Verified Profile Summary
Andraes Johnson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Hephzibah, GA. Practice services are available at 4130 MICHAEL PL under active NPI credentials.
Practice Location & Contact Primary Location
4130 Michael Pl
Hephzibah, GA 308155937
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Hephzibah, GA
Practicing in Hephzibah, GA (1401 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2024-09-12NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
NUCC Taxonomy Code: 164X00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
4902 Luton Dr
Grovetown, GA 308132237
Phone: 7065896667
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 4902 LUTON DR, GROVETOWN, GA 308132237 (Tel: 7065896667)
Licensed Vocational Nurse (License #062322 in GA)
NPI status registered as active in NPPES database
Registered at 4130 MICHAEL PL, HEPHZIBAH, GA 308155937 (Tel: 7065896667)
Registered at 4130 MICHAEL PL, HEPHZIBAH, GA 308155937 (Tel: 7065896667)
Recorded as ANDRAES JOHNSON, LPN
Licensed Practical Nurse (License #LPN63232 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4902 Luton Dr
Grovetown, GA 308132237
Phone: 7065896667
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