person
Johnny Keith Coleman, PA-C
Primary Care Nurse Practitioner in Fortuna, California
NPI 1174558845

Johnny Keith Coleman is a Primary Care Nurse Practitioner based in Fortuna, CA and is specialized in Primary Care. Johnny Keith Coleman practices in Fortuna, CA and has the professional credentials of PA-C. The NPI Number for Johnny Keith Coleman is 1174558845 and holds a License No. PA13661 (California).

The current practice location address for Johnny Keith Coleman is 3302 Renner Dr, Fortuna, CA and can be reached out via phone at 707-725-3318 and via fax at 707-725-9396.

Location: 3302 Renner Dr, Fortuna, CA, 95540-3120
person
Provider Profile Details
NPI Number
1174558845
Provider Name
Johnny Keith Coleman
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3302 Renner Dr, Fortuna, CA, 95540-3120
Phone Number
707-725-3318
Fax Number
707-725-9396
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3302 Renner Dr
City
State
Zip
95540-7103
Phone Number
707-725-3318
Fax Number
707-725-9396
person
Provider Business Mailing Address Details
Address
3302 Renner Dr
City
State
Zip
95540-7103
Phone Number
707-725-3318
Fax Number
707-725-9396
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
PA13661 (California)
Definition
Definition to come...
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