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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHALLON TENNILLE JOHNSON, FNP-C

Active

MRS. SHALLON TENNILLE JOHNSON, FNP-C is a Family Nurse Practitioner healthcare provider located in NORTH JACKSON, Ohio. NPI 1104660273 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · NORTH JACKSON, OH

Registration Details

NPI Number
1104660273
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2024 (1.9615006430495 yrs)
Last Updated
Aug 27, 2025
License
0037086 (OH)

Practice Information

Address
10850 MAHONING AVE
NORTH JACKSON, OH, 444518705
Browse OH providers · Browse ZIP 44451
Phone
3303314966
Fax
2348887281
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in NORTH JACKSON, OH

Name Credential NPI
MELODY WRIGHT FNP 1578008801
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.