person
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. You can also correspond with Jervonne Lanee Johnson through the mailing address at 30 PALATINE APT 338, IRVINE, CA - 92612-8864 (mailing address contact number: 213-304-6050).

Location: 130 N Brand Blvd Ste 301, Glendale, CA, 92612-8864
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
State
Zip
91203-4623
Phone Number
818-945-6003
Fax Number
person
Provider Business Mailing Address Details
Address
130 N Brand Blvd Ste 301
City
State
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
License No.
95018172 (California)
Definition
Definition to come...
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