Individual provider · Type 1 NPI

Amanda Michelle Johnson

Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA

NPI number 1861174476 Active

Practice location

8836 S Vermont Ave
Los Angeles, CA 90044-4832

Mailing address

2640 Industry Way
Lynwood, CA 90262-4284

Other practice locations

  • 2640 Industry Way, Lynwood, CA 90262-4284 · (310) 627-7452
  • 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 · (323) 751-3026

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X851704 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95039305 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1861174476

Amanda Michelle Johnson's National Provider Identifier is 1861174476, issued on Aug 2, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 22, 2026.