Provider Demographics
NPI:1356104012
Name:JOHNSON, ARIELLE ELIECE
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:ELIECE
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 1:1440 W KEMPER RD
Mailing Address - Street 2:APT 102
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1653
Mailing Address - Country:US
Mailing Address - Phone:513-383-4330
Mailing Address - Fax:
Practice Address - Street 1:1440 W KEMPER RD
Practice Address - Street 2:APT 102
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1653
Practice Address - Country:US
Practice Address - Phone:513-383-4330
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
Yes374U00000XNursing Service Related ProvidersHome Health Aide