Individual
CHARLOTTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8170 LAGUNA BLVD, ELK GROVE, CA 95758-7901
(916) 691-5900
Mailing address
8110 TIMBERLAKE WAY, SACRAMENTO, CA 95823-5401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009955
CA
Other
Enumeration date
02/15/2019
Last updated
02/06/2026
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