MRS. EBONY TALISE JOHNSON BSN-RN NPI 1922813401

NPI Information

  • NPI: 1922813401
  • Provider Name: MRS. EBONY TALISE JOHNSON, BSN-RN
  • Classification: Home Infusion - 251F00000X
  • Entity Type: Individual
  • Address: 1216 WEST 97TH PLACE
    CHICAGO, IL
    ZIP 60643
  • Phone: (708) 543-0632

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NPI Details

MRS. Ebony Talise Johnson, BSN-RN is a home infusion in Chicago, IL. MRS. Ebony Talise Johnson, BSN-RN NPI is 1922813401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1216 WEST 97TH PLACE
CHICAGO, IL
ZIP 60643
Phone: (708) 543-0632

The enumeration date for this NPI number is 2/11/2025 and was last updated on 2/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WS0200XRegistered NurseSchool041418831ILLINOISNo
2251F00000XHome Infusion28293616AINDIANANo
3261QI0500XClinic/CenterInfusion Therapy041418831ILLINOISNo
4251F00000XHome Infusion041418831ILLINOISYes
5163WC1600XRegistered NurseContinuing Education/Staff Development041418831ILLINOISNo
6163WI0500XRegistered NurseInfusion Therapy28293616AINDIANANo
7163WI0500XRegistered NurseInfusion Therapy041418831ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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