Individual
JESSICA ELAINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 W MISSION AVE, STE. 103, ESCONDIDO, CA 92025-1720
(760) 747-3424
(760) 747-3435
Mailing address
125 W MISSION AVE, STE. 103, ESCONDIDO, CA 92025-1720
(760) 747-3424
(760) 747-3435
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95205010
CA
164X00000X
Licensed Vocational Nurse
VN 226642
CA
Other
Enumeration date
08/20/2007
Last updated
07/31/2020
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