Johnson, Jennifer

Johnson, Jennifer is an individual health care provider with primary practice located at 9300 Valley Childrens Pl , Madera CA 93636-8761. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Johnson, Jennifer can be contacted via phone (559) 353-5714.

Contact Information

Primary practice address
9300 Valley Childrens Pl Madera CA 93636-8761
Phone: (559) 353-5714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A149107 California
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X A149107 California

Profile Details

NPI number 1194143057
LBN Legal business name Johnson, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2014
Last updated Jul 9th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194143057 NPPES
California Other A149107 CALIFORNIA MEDICAL LICENSE

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