Individual provider · NPI-1

Kimberly S Johnson, RN, MSN

Registered Nurse, Hospice · Walnut Creek, CA

NPI number1760228936
StatusActive
Last updated in NPPESAug 30, 2024

Details

NPI
1760228936
Entity type
Individual (NPI-1)
Name
Kimberly S Johnson
Credential
RN, MSN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 6, 2024
Certification date
Aug 30, 2024
Last updated
Aug 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WH1000X Registered Nurse, Hospice95292146CAYes

Practice location

3021 Citrus Cir Ste 230
Walnut Creek, CA 94598-2691

Phone 510-427-0876

Mailing address

30 N Gould St Ste R
Sheridan, WY 82801-6317

Phone 209-317-8438

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse, Hospice providers in Walnut Creek, CA