| Doctor Name: | CASEY LYNN JOHNSON |
| NPI Number: | 1013349919 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 830455 |
| Business Practice Address: | 104 Barnes St Oceanside, CA - 920543406 |
| Business Phone Number: | 7609663800 |
| Business Fax Number: | |
| Mailing Address: | 665 Sleeping Indian Rd, OCEANSIDE |
| State: | CA |
| Postal Code: | 920573106 |
| Phone Number: | 7609891095 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2013 |
| NPI Last Update Date: | 08/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 830455 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |