NPI 1114430105

Johanna Jetton

Practitioner Advanced Practice Midwife Berkeley, CA

Practice location

Address: 2999 Regent St STE 524, Berkeley, CA 94705-2120
Phone: (510) 244-0446
Mailing address: 3211 King St, Berkeley, CA 94703-2434

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 235935 (CA)

Other Advanced Practice Midwife providers in California →

Obstetrics & Gynecology Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LX0001X Licence 95007955 (CA)

Other Nurse Practitioner providers in California →

Registry record

NPI: 1114430105
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2017
Record last updated: 5 Mar 2026

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.