Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
404 PARNASSUS AVE, 8TH FLOOR, NEURO-ONCOLOGY, SAN FRANCISCO, CA 94122-2721
(415) 353-2966
Mailing address
404 PARNASSUS AVE, 8TH FLOOR, NEURO-ONCOLOGY, SAN FRANCISCO, CA 94122-2721
(415) 353-2966
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
712901
TX
363L00000X
Nurse Practitioner
Primary
95020861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
712901
LICENSE
TX
Enumeration date
02/14/2007
Last updated
07/11/2022
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