Spiller-Johnson, Shirley

Spiller-Johnson, Shirley is an individual health care provider with primary practice located at 2051 Montreat Dr , Memphis TN 38134-6613. She recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Nursing Home Administrator. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Spiller-Johnson, Shirley can be contacted via phone (901) 598-7437.

Contact Information

Primary practice address
2051 Montreat Dr Memphis TN 38134-6613
Phone: (901) 598-7437
Fax: (901) 388-7366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0000000565 Tennessee
Nursing Service Related Providers / Chore Provider 372500000X 0000000565 Tennessee
Nursing Service Related Providers / Adult Companion 372600000X 0000000565 Tennessee
Nursing Service Related Providers / Attendant Care Provider 3747A0650X 0000000565 Tennessee
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 0000000565 Tennessee
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 0000000565 Tennessee

Profile Details

NPI number 1740678960
LBN Legal business name Spiller-Johnson, Shirley
Credentials ADMINISTRATOR/OPERAT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2014
Last updated Dec 23rd, 2014 - about 10 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740678960 NPPES
Tennessee MEDICAID H445488

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