Provider Demographics
NPI:1285036509
Name:JOHNS, SCHLONDRA CYLINTHIA (LPN)
Entity Type:Individual
Prefix:MS
First Name:SCHLONDRA
Middle Name:CYLINTHIA
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 1:5562 POPLAR PL
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-1760
Mailing Address - Country:US
Mailing Address - Phone:321-297-2840
Mailing Address - Fax:
Practice Address - Street 1:5562 POPLAR PL
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-1760
Practice Address - Country:US
Practice Address - Phone:321-297-2840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA079268164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse