Provider Demographics
NPI:1407619026
Name:JOHNSON, QUANISHA JOKEYA
Entity Type:Individual
Prefix:
First Name:QUANISHA
Middle Name:JOKEYA
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 37TH ST SE APT 301
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-3140
Mailing Address - Country:US
Mailing Address - Phone:202-344-7882
Mailing Address - Fax:
Practice Address - Street 1:212 12TH PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6302
Practice Address - Country:US
Practice Address - Phone:202-971-0513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider