| Doctor Name: | JANE MARGUERITE JOHNSON |
| NPI Number: | 1033107891 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | ZZZ24398Z |
| Business Practice Address: | 2755 Herndon Ave Clovis Community Medical Center Clovis, CA - 93611 |
| Business Phone Number: | 5596382252 |
| Business Fax Number: | |
| Mailing Address: | 4974 N Fresno St, Suite 526 FRESNO |
| State: | CA |
| Postal Code: | 937260317 |
| Phone Number: | 5593252764 |
| Fax Number: | 5593252764 |
| NPI Enumeration Date: | 10/06/2005 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ZZZ24398Z |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |