Individual
JESSELYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2001 E ORANGETHORPE AVE, STE D, PLACENTIA, CA 92870-6759
(714) 525-5545
Mailing address
13224 NEWPORT AVE, APT, 8A, TUSTIN, CA 92780-3401
(714) 389-6851
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
672766
CA
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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