# MRS. JENIFFER SANTIAGO JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568651909
- **Gender:** F
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | NP 17307 | CA | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 03/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 17307 | NP LICENSE | CA |
| 01 | — | 581170 | RN LICENSE | CA |