Johnson, Jenninfer L

Johnson, Jenninfer L is an individual health care provider with primary practice located at 1919 Santa Monica Blvd Ste 300 , Santa Monica CA 90404-1950. 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 / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Johnson, Jenninfer L can be contacted via phone (424) 259-7160.

Contact Information

Primary practice address
1919 Santa Monica Blvd Ste 300 Santa Monica CA 90404-1950
Phone: (424) 259-7160
Fax: (424) 259-7175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP16667 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN 534139 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP 16667 California

Profile Details

NPI number 1508929225
LBN Legal business name Johnson, Jenninfer L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Aug 8th, 2014 - about 10 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 1508929225 NPPES
California MEDICAID RN534139

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