Individual
SHERONDA LATRECIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-C
Contact information
Practice address
500 PARNASSUS AVE RM MUW -405, SAN FRANCISCO, CA 94143-2203
(415) 353-8890
Mailing address
500 PARNASSUS AVE RM MUW -405, SAN FRANCISCO, CA 94143-2203
(415) 353-8890
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95010260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053807602
NONE
CA
Enumeration date
07/06/2018
Last updated
04/06/2023
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