| Doctor Name: | MS. KRISTIN ELISE JOHNSON |
| NPI Number: | 1437200540 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, RNCS |
| License Number: | 209713 AND 74 |
| Business Practice Address: | 2377 Gold Meadow Way Suite 100 Gold River, CA - 956704405 |
| Business Phone Number: | 9162136766 |
| Business Fax Number: | |
| Mailing Address: | 11367 Huntington Village Ln, GOLD RIVER |
| State: | CA |
| Postal Code: | 956707523 |
| Phone Number: | 9162136766 |
| Fax Number: | 9168590677 |
| NPI Enumeration Date: | 01/15/2007 |
| NPI Last Update Date: | 05/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 209713 AND 74 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |