Individual
MS. KIMBERLY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
429 BROADWAY, CHULA VISTA, CA 91910-4320
(619) 434-0204
(619) 337-0191
Mailing address
429 BROADWAY, CHULA VISTA, CA 91910-4320
(619) 434-0204
(619) 337-0191
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NP95010364
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95010364
CA
Other
Enumeration date
12/17/2018
Last updated
09/08/2022
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