Individual provider · Type 1 NPI

Jenny Lynne Johnson

Pediatric Nurse Practitioner · Los Angeles, CA

NPI number 1013491810 Active

Practice location

4650 W Sunset Blvd # 54
Los Angeles, CA 90027-6062

Mailing address

11929 Venice Blvd Apt 303
Los Angeles, CA 90066-3938

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X95009984 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1013491810

Jenny Lynne Johnson's National Provider Identifier is 1013491810, issued on Sep 18, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 18, 2018.