Jervonne Lanee Johnson, | |
130 N Brand Blvd Ste 301, Glendale, CA 91203-4623 | |
(818) 945-6003 | |
Not Available |
Full Name | Jervonne Lanee Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 130 N Brand Blvd Ste 301, Glendale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861169252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95018172 (California) | Primary |
Entity Name | Global Wound Care Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
Entity Name | American Wound Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20230927002772 |
Mailing Address | Practice Location Address |
---|---|
Jervonne Lanee Johnson, 30 Palatine Apt 338, Irvine, CA 92612-8864 Ph: (213) 304-6050 | Jervonne Lanee Johnson, 130 N Brand Blvd Ste 301, Glendale, CA 91203-4623 Ph: (818) 945-6003 |
Anna Manukyan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3527 Ocean View Blvd, Glendale, CA 91208 Phone: 747-745-7771 | |
Armenuhi Armineh Hagopian, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1125 E Maple St Unit 1, Glendale, CA 91205 Phone: 818-398-7803 | |
Chelsea Addy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 N Brand Blvd Ste 100, Glendale, CA 91203 Phone: 747-286-2600 | |
Nessrien Waguih Malak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3340 Honolulu Ave Apt 6, Glendale, CA 91214 Phone: 562-507-6012 | |
Brianna Ruth Oexmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 N Central Ave, Glendale, CA 91203 Phone: 888-777-1945 Fax: 805-413-9099 | |
Yu-ching Karen Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1122 E Broadway, Glendale, CA 91205 Phone: 866-389-2727 | |
Lauralie Johnson, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 S Central Ave Ste 100, Glendale, CA 91204 Phone: 818-660-4490 |