IndividualActive
Jessica Johnson, AUD
NPI 1003335423 · Audiologist · Mcclellan, CA
Provider details
- NPI number
- 1003335423
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUD
- Sex
- Female
- Sole proprietor
- No
- License
- SLP-AU-LIC-6628 (MT)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
5342 Dudley Blvd # 95652
Mcclellan, CA 95652-1012
Phone: (916) 561-7400
Approximate (ZIP-level) locationGet directions
Mailing address
5342 Dudley Blvd # 95652
Mcclellan, CA 95652-1012
Registry dates
- Enumerated
- 2017-09-18
- Last updated
- 2019-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.