Individual
LORI ANN JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MN, FNP- BC
Contact information
Practice address
1021 NE 13TH AVE, ROCKAWAY BEACH, OR 97136-9312
(916) 202-5799
Mailing address
1021 NE 13TH AVE, ROCKAWAY BEACH, OR 97136-9312
(916) 202-5799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201050034NP
OR
363LF0000X
Family Nurse Practitioner
6699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201040443RN
RN LICENSE
OR
01
—
201050034NP
NP LICENSE
OR
01
—
359033
RN
CA
01
—
6699
NURSE PRACTITIONER FURNISHING NUMBER & CERTIFICATE
CA
Enumeration date
10/18/2005
Last updated
06/11/2012
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