Johnson, Jeniffer Santiago

Johnson, Jeniffer Santiago is an sole proprietor health care provider with primary practice located at 1182 N Euclid St , Anaheim CA 92801-1900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Jeniffer Santiago can be contacted via phone (714) 399-9222.

Contact Information

Primary practice address
1182 N Euclid St Anaheim CA 92801-1900
Phone: (714) 399-9222
Fax: (714) 399-9226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP 17307 California

Profile Details

NPI number 1568651909
LBN Legal business name Johnson, Jeniffer Santiago
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2007
Last updated Mar 6th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568651909 NPPES
California Other 581170 RN LICENSE
California Other 17307 RN LICENSE

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