Individual provider · Type 1 NPI
Tracey J. Johnson, NP
Nurse Practitioner · Roseville, CA
Practice location
3 Medical Plaza Dr, #260
Roseville, CA 95661-3087
Fax (916) 773-7979
Mailing address
10470 Old Placerville Rd, Suite 100
Sacramento, CA 95827-2539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP6930 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1053410571
Tracey J. Johnson, NP's National Provider Identifier is 1053410571, issued on Sep 21, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Roseville, CA. The record was last updated on Oct 25, 2013.