Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD ELIJAH JOHNSON
ActiveCHAD ELIJAH JOHNSON is a Gerontological Clinical Nurse Specialist healthcare provider located in SANTA CRUZ, California. NPI 1619772506 is currently active in the NPPES registry. Verify at CMS.
Gerontological Clinical Nurse Specialist · SANTA CRUZ, CA
Registration Details
- NPI Number
- 1619772506
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2025 (1.3101528870952 yrs)
- Last Updated
- Feb 15, 2025
- Licenses
-
95169322 (CA)5184 (CA)
Practice Information
- Address
-
1555 SOQUEL DRSANTA CRUZ, CA, 950651705Browse CA providers · Browse ZIP 95065
- Phone
- 8314627350
- Primary Specialty
-
Gerontological Clinical Nurse Specialist
364SG0600X
- Additional Specialty
- Gerontological Clinical Nurse Specialist
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.