Provider Demographics
NPI:1275867509
Name:JOHNSON, VINOKIA MACHELLE (RN)
Entity Type:Individual
Prefix:MS
First Name:VINOKIA
Middle Name:MACHELLE
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 1:905 CYPRESS STATION DR APT 710
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1527
Mailing Address - Country:US
Mailing Address - Phone:281-608-6721
Mailing Address - Fax:281-893-0691
Practice Address - Street 1:905 CYPRESS STATION DR APT 710
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1527
Practice Address - Country:US
Practice Address - Phone:281-608-6721
Practice Address - Fax:281-893-0691
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX746304163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health