Individual
SAMANTHA RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4824 TUJUNGA AVE UNIT 110, NORTH HOLLYWOOD, CA 91601-4763
(407) 738-2617
Mailing address
4824 TUJUNGA AVE UNIT 110, NORTH HOLLYWOOD, CA 91601-4763
(407) 738-2617
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95031040
CA
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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