Individual
MRS. BRANDI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., RN, ACNP-BC
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 342-3108
Mailing address
1441 FLORIDA AVE, MODESTO, CA 95350-4418
(209) 342-3108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
872266
MS
363L00000X
Nurse Practitioner
Primary
95011779
CA
Other
Enumeration date
01/11/2013
Last updated
10/03/2025
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