NPI 1003335423

Jessica Marie Johnson, AUD

Practitioner Audiologist McClellan, CA

Practice location

Address: 5342 Dudley Blvd # 95652, McClellan, CA 95652-1012
Phone: (916) 561-7400

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence SLP-AU-LIC-6628 (MT)

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Registry record

NPI: 1003335423
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2017
Record last updated: 30 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.