Provider Demographics
NPI:1477318889
Name:JOHNSON, YOLANDA ROMICE
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:ROMICE
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 1:3974 ABINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-1302
Mailing Address - Country:US
Mailing Address - Phone:513-763-9694
Mailing Address - Fax:
Practice Address - Street 1:3052 AQUADALE LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-8004
Practice Address - Country:US
Practice Address - Phone:513-763-9694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker