| NPI | 1346764479 |
|---|---|
| Former Name | JESSICA IRENE JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002697) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-04-01 |