Individual provider · Type 1 NPI

Autumn Jean Johnson

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1902551401 Active

Practice location

166 Santa Clara Ave Ste 205
Oakland, CA 94610-1323

Call (510) 601-1929 Map

Fax (510) 601-1947

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902551401

Autumn Jean Johnson's National Provider Identifier is 1902551401, issued on Feb 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Sep 26, 2025.