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Marissa Johnson
Pediatric Nurse Practitioner in Vista, California
NPI 1467145938

Marissa Johnson is a Pediatric Nurse Practitioner based in Oceanside, CA and is specialized in Pediatrics. Marissa Johnson practices in Vista, CA. The NPI Number for Marissa Johnson is 1467145938 and holds a License No. 95025351 (California).

The current practice location address for Marissa Johnson is 2067 W Vista Way Ste 250, Vista, CA and can be reached out via phone at 562-490-9900.

Location: 2067 W Vista Way Ste 250, Vista, CA, 92056-3783
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467145938
Provider Name
Marissa Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2067 W Vista Way Ste 250, Vista, CA, 92056-3783
Phone Number
562-490-9900
Fax Number
Provider Enumeration Date
05/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2067 W Vista Way Ste 250
City
Vista
State
California
Zip
92083-6034
Phone Number
562-490-9900
Fax Number
person
Provider Business Mailing Address Details
Address
2067 W Vista Way Ste 250
City
Vista
State
California
Zip
92083-6034
Phone Number
562-490-9900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95025351 (California)
Definition
Definition to come...
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