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General NPI Number Information
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NPI Number | 1902662489
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Entity Type | Individual
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Provider Name | NYKA JOHNSON RN
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Gender | Female
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 10738 PARAMOUNT BLVD
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City | DOWNEY
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State | CA
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Zip | 90241-3306
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Country | US
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Telephone | 707-301-6285
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Fax |
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Provider Business Mailing Address
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Address Line | 8504 FIRESTONE BLVD # 347
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City | DOWNEY
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State | CA
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Zip | 90241-4926
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Country | US
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Telephone | 707-301-6285
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 95190467
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95027258
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 95190467
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95190467
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License Number State | CA
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