Johnson, Shavonda

Johnson, Shavonda is an sole proprietor health care provider with primary practice located at 27936 John F Kennedy Dr Unit A , Moreno Valley CA 92555-5888. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Johnson, Shavonda can be contacted via phone (951) 259-3312.

Contact Information

Primary practice address
27936 John F Kennedy Dr Unit A Moreno Valley CA 92555-5888
Phone: (951) 259-3312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95039531 California

Profile Details

NPI number 1306766209
LBN Legal business name Johnson, Shavonda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2026
Last updated Jul 20th, 2026 - about 3 months 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.

Request for update

Popular Providers