Provider Demographics
NPI:1851965636
Name:JOHNSON-OLEKSIAK, DANIELLE SHAQUELLE (CNA)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:SHAQUELLE
Last Name:JOHNSON-OLEKSIAK
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MISS
Other - First Name:DANIELLE
Other - Middle Name:SHAQUELLE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36065 SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544-5060
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3404 KAYDENCE CT
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-3338
Practice Address - Country:US
Practice Address - Phone:254-553-6002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide