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Mattison Brooke Johnson I, LVN
Attendant Care Provider in La Mesa, California
NPI 1710535687

Mattison Brooke Johnson I is an Attendant Care Provider based in La Mesa, CA and is specialized in Attendant Care Provider. Mattison Brooke Johnson I practices in La Mesa, CA and has the professional credentials of LVN. The NPI Number for Mattison Brooke Johnson I is 1710535687 and holds a License No. 696096 (California).

The current practice location address for Mattison Brooke Johnson I is 8615 Fletcher Pkwy Unit 406, La Mesa, CA and can be reached out via phone at 209-570-6823.

Location: 8615 Fletcher Pkwy Unit 406, La Mesa, CA, 91942-5205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710535687
Provider Name
Mattison Brooke Johnson I
Credential
LVN
Provider Entity Type
Individual
Gender
Female
Address
8615 Fletcher Pkwy Unit 406, La Mesa, CA, 91942-5205
Phone Number
209-570-6823
Fax Number
Provider Enumeration Date
09/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F5653277 01 CA DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
8615 Fletcher Pkwy Unit 406
City
La Mesa
State
California
Zip
91942-5205
Phone Number
209-570-6823
Fax Number
person
Provider Business Mailing Address Details
Address
8615 Fletcher Pkwy Unit 406
City
La Mesa
State
California
Zip
91942-5205
Phone Number
209-570-6823
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
()
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
696096 (California)
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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