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Individual

JAMIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PMHNP-BC

Contact information

Practice address
4820 BUSINESS CENTER DR STE 210, FAIRFIELD, CA 94534-1696
(707) 224-8266
Mailing address
PO BOX 841, NAPA, CA 94559-0841

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95343775
CA
172V00000X
Community Health Worker
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035795
CA

Other

Enumeration date
08/18/2019
Last updated
01/18/2026
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