SHAVONDA JOHNSON NP NPI 1306766209

NPI Information

  • NPI: 1306766209
  • Provider Name: SHAVONDA JOHNSON, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 27936 JOHN F KENNEDY DR UNIT A
    MORENO VALLEY, CA
    ZIP 92555
  • Phone: (951) 259-3312

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NPI Details

Shavonda Johnson, NP is a psychiatric/mental health nurse practitioner in Moreno Valley, CA. Shavonda Johnson, NP NPI is 1306766209. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

27936 JOHN F KENNEDY DR UNIT A
MORENO VALLEY, CA
ZIP 92555-888
Phone: (951) 259-3312

The enumeration date for this NPI number is 7/20/2026 and was last updated on 7/20/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health95039531CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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