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Jervonne Lanee Johnson
Family Nurse Practitioner in Glendale, California
NPI 1861169252

Jervonne Lanee Johnson is a Family Nurse Practitioner based in Irvine, CA and is specialized in Family. Jervonne Lanee Johnson practices in Glendale, CA. The NPI Number for Jervonne Lanee Johnson is 1861169252 and holds a License No. 95018172 (California).

The current practice location address for Jervonne Lanee Johnson is 130 N Brand Blvd Ste 301, Glendale, CA and can be reached out via phone at 818-945-6003.

Location: 130 N Brand Blvd Ste 301, Glendale, CA, 92612-8864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861169252
Provider Name
Jervonne Lanee Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 N Brand Blvd Ste 301, Glendale, CA, 92612-8864
Phone Number
818-945-6003
Fax Number
Provider Enumeration Date
08/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 N Brand Blvd Ste 301
City
Glendale
State
California
Zip
91203-4623
Phone Number
818-945-6003
Fax Number
person
Provider Business Mailing Address Details
Address
130 N Brand Blvd Ste 301
City
Glendale
State
California
Zip
91203-4623
Phone Number
818-945-6003
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95018172 (California)
Definition
Definition to come...
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