Johnson, Carol M
Johnson, Carol M is an individual health care provider with primary practice located at 751 S Bascom Ave Neonatology, San Jose CA 95128-2604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Johnson, Carol M can be contacted via phone (408) 885-5420.Contact Information
Primary practice address
751 S Bascom Ave Neonatology
San Jose CA 95128-2604
Phone: (408) 885-5420
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN543317 | California |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | RN543317 | California |
Profile Details
NPI number | 1811058191 |
---|---|
LBN Legal business name | Johnson, Carol M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 12th, 2006 |
Last updated | Sep 13th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811058191 | NPPES |
California | MEDICAID | RN543317 |
Popular Providers
-
Leblanc, Keri
3020 Childrens Way Mail Code 5122, San Diego CA 92123-4223 -
Passehl Capaci, Chaundra Renae
3010 Childrens Way , San Diego CA 92123-4223 -
Menge, Elona Jean
751 S Bascom Ave Neonatology Department, San Jose CA 95128-2604 -
Mattox, Victoria
1975 4Th St Bay 3 , San Francisco CA 94143-2351 -
Lierman, Angela Marie
3010 Childrens Way , San Diego CA 92123-4223 -
Ribeiro, Liriane Dassow
3020 Childrens Way , San Diego CA 92123-4223 -
Clifton, Kimberly Ann
3020 Childrens Way , San Diego CA 92123-4223 -
Porter, Melinda Jill
2500 Merced Street 3Rd Floor, Nicu, San Leandro CA 94577-4201