Provider Demographics
NPI:1902790272
Name:JOHNSON, ONESHIA
Entity type:Individual
Prefix:
First Name:ONESHIA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 19TH ST N APT 1211
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-2262
Mailing Address - Country:US
Mailing Address - Phone:205-260-9274
Mailing Address - Fax:
Practice Address - Street 1:600 19TH ST N APT 1211
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-2262
Practice Address - Country:US
Practice Address - Phone:205-260-9274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health