Provider Demographics
NPI:1457672859
Name:MCPHERSON, JOHNALYN DEE (RN)
Entity Type:Individual
Prefix:
First Name:JOHNALYN
Middle Name:DEE
Last Name:MCPHERSON
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 1:2320 FOXHILL DR
Mailing Address - Street 2:APT. 3B
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-6018
Mailing Address - Country:US
Mailing Address - Phone:937-581-5745
Mailing Address - Fax:937-567-0851
Practice Address - Street 1:2320 FOXHILL DR
Practice Address - Street 2:APT. 3B
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-5635
Practice Address - Country:US
Practice Address - Phone:937-581-5745
Practice Address - Fax:937-567-0851
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-20
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN330738163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse