Individual
MRS. JENIFFER SANTIAGO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1182 N EUCLID ST, ANAHEIM, CA 92801-1900
(714) 399-9222
(714) 399-9226
Mailing address
1182 N EUCLID ST, ANAHEIM, CA 92801-1900
(714) 399-9222
(714) 399-9226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 17307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17307
NP LICENSE
CA
01
—
581170
RN LICENSE
CA
Enumeration date
10/22/2007
Last updated
03/06/2015
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