Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEPHEN ARCHIE JOHNSON, RN, NP ,PA
Active Sole ProprietorMR. STEPHEN ARCHIE JOHNSON, RN, NP ,PA is a Family Nurse Practitioner healthcare provider located in COVELO, California. NPI 1750363743 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · COVELO, CA
Registration Details
- NPI Number
- 1750363743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2005 (20.726574306439 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
12229 (CA)320565 (CA)6882 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24065 BIGGAR LANECOVELO, CA, 954289669Browse CA providers · Browse ZIP 95428
- Phone
- 7079836181
- Fax
- 7079836802
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
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.