Individual
JENNINFER L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1919 SANTA MONICA BLVD STE 300, SANTA MONICA, CA 90404-1950
(424) 259-7160
(424) 259-7175
Mailing address
5767 W CENTURY BLVD, STE 400, LOS ANGELES, CA 90045-5631
(310) 794-1195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP16667
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP 16667
CA
363LA2100X
Acute Care Nurse Practitioner
RN 534139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN534139
—
CA
Enumeration date
12/18/2006
Last updated
08/08/2014
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