Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLISE JOHNSON
Active Sole ProprietorSHELLISE JOHNSON is a Assisted Living Facility healthcare provider located in BALTIMORE, Maryland. NPI 1023608049 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · BALTIMORE, MD
Registration Details
- NPI Number
- 1023608049
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2021 (5.5758318458096 yrs)
- Last Updated
- Jan 23, 2021
- License
-
30AL3875 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1703 E 29TH STBALTIMORE, MD, 212183745Browse MD providers · Browse ZIP 21218
- Phone
- 4438696882
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| CAROLYN PEOPLES | ASSISTED LIVING PROV | 1235251315 |
| MRS. MARIE G. FERNELIS | — | 1467643049 |
| GRACE WATSON | RN | 1578986469 |
| TAKEETA GARDNER | — | 1104375435 |
| MS. AMELIA CONSAUNDRA WARD | — | 1700323623 |
| TIARRA HURSEY | — | 1265930333 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.