Individual
DR. GABRIELLE CHASEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MSN, APRN, FNP
Contact information
Practice address
1520 SAN PABLO ST STE 1300, LOS ANGELES, CA 90033-5312
(323) 442-5900
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5900
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
9514911
CA
363L00000X
Nurse Practitioner
Primary
95015135
CA
Other
Enumeration date
06/23/2020
Last updated
12/04/2020
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