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Jacqueline Johnson
Family Nurse Practitioner in West Covina, California
NPI 1063957009

Jacqueline Johnson is a Family Nurse Practitioner based in West Covina, CA and is specialized in Family. Jacqueline Johnson practices in West Covina, CA. The NPI Number for Jacqueline Johnson is 1063957009 and holds a License No. 95005643 (California).

The current practice location address for Jacqueline Johnson is 420 S. Glendora Ave, West Covina, CA and can be reached out via phone at 616-250-5247.

Location: 420 S. Glendora Ave, West Covina, CA, 91790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063957009
Provider Name
Jacqueline Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
420 S. Glendora Ave, West Covina, CA, 91790
Phone Number
616-250-5247
Fax Number
Provider Enumeration Date
12/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
420 S. Glendora Ave
City
West Covina
State
California
Zip
91790
Phone Number
616-250-5247
Fax Number
person
Provider Business Mailing Address Details
Address
420 S. Glendora Ave
City
West Covina
State
California
Zip
91790
Phone Number
616-250-5247
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95005643 (California)
Definition
Definition to come...
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