Individual provider · Type 1 NPI
Samantha Jo Johnson, NP
Pediatric Nurse Practitioner · Loma Linda, CA
NPI number
1821324765
Active
Practice location
11370 Anderson St, Suite 2050
Loma Linda, CA 92354-3450
Fax (909) 558-2704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 19464 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1821324765
Samantha Jo Johnson, NP's National Provider Identifier is 1821324765, issued on Oct 28, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 8, 2013.