Johnson, Shameka Logan

Johnson, Shameka Logan is an individual health care provider with primary practice located at 2305 Wellington Dr Sw , Wilson NC 27893-4400. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Johnson, Shameka Logan can be contacted via phone (252) 306-7474.

Contact Information

Primary practice address
2305 Wellington Dr Sw Wilson NC 27893-4400
Phone: (252) 306-7474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5017490 North Carolina
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 0024185817 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2022009320 North Carolina

Profile Details

NPI number 1972215382
LBN Legal business name Johnson, Shameka Logan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2022
Last updated Jul 18th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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