Individual
MRS. JOHANNA KAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
82 CLARKSVILLE RD STE 120, FOLSOM, CA 95630-8210
(916) 413-1306
Mailing address
709 WOODACRE DR, REDDING, CA 96002-3532
(916) 413-1306
(916) 983-0602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN417727
CA
363AM0700X
Medical Physician Assistant
Primary
PAC52759
CA
363LF0000X
Family Nurse Practitioner
NP6347
CA
Other
Enumeration date
09/19/2007
Last updated
10/29/2025
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