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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHNNY KEITH COLEMAN, P.A.-C.

Active

JOHNNY KEITH COLEMAN, P.A.-C. is a Primary Care Nurse Practitioner healthcare provider located in FORTUNA, California. NPI 1174558845 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · FORTUNA, CA

Registration Details

NPI Number
1174558845
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2006 (20.125781872114 yrs)
Last Updated
Jun 30, 2015
License
PA13661 (CA)

Practice Information

Address
3302 RENNER DR
FORTUNA, CA, 955407103
Browse CA providers · Browse ZIP 95540
Phone
7077253318
Fax
7077259396
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in FORTUNA, CA

Name Credential NPI
ANDREW ALLEN BILLINGS FNP 1902555675
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.