Individual provider · Type 1 NPI
Makensie Johnson, PPCNP-BC
Pediatric Nurse Practitioner · Los Angeles, CA
NPI number
1629498928
Active
Practice location
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95000564 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1629498928
Makensie Johnson, PPCNP-BC's National Provider Identifier is 1629498928, issued on Apr 24, 2014. 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 22, 2014.