IndividualActive
Corionna Johnson
NPI 1104684653 · Personal Care Attendant · Indianapolis, IN
Provider details
- NPI number
- 1104684653
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 23-016415-1 (IN)
Specialties & taxonomies
Nursing Service Related Providers
Nursing Service Related Providers
Practice location
4759 Normal Ave
Indianapolis, IN 46226-2915
Phone: (317) 744-3758
Approximate (ZIP-level) locationGet directions
Mailing address
4759 Normal Ave
Indianapolis, IN 46226-2915
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2024-03-11
- Certified
- 2024-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.