Provider Demographics
NPI:1033933973
Name:JOHNSON, BRITTNY
Entity type:Individual
Prefix:
First Name:BRITTNY
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10862 MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:PENNGROVE
Mailing Address - State:CA
Mailing Address - Zip Code:94951-9617
Mailing Address - Country:US
Mailing Address - Phone:707-494-4873
Mailing Address - Fax:
Practice Address - Street 1:10862 MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:PENNGROVE
Practice Address - State:CA
Practice Address - Zip Code:94951-9617
Practice Address - Country:US
Practice Address - Phone:707-494-4873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula