MRS. THERESA J JOHNSON RN IBCLC RLC NPI 1407086572

NPI Information

  • NPI: 1407086572
  • Provider Name: MRS. THERESA J JOHNSON, RN, IBCLC, RLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 9918 N JOHN ALBERT AVE
    FRESNO, CA
    ZIP 93720
  • Phone: (559) 434-6937

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NPI Details

MRS. Theresa J Johnson, RN, IBCLC, RLC is a lactation consultant registered nurse in Fresno, CA. MRS. Theresa J Johnson, RN, IBCLC, RLC NPI is 1407086572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9918 N JOHN ALBERT AVE
FRESNO, CA
ZIP 93720-090
Phone: (559) 434-6937

The enumeration date for this NPI number is 7/22/2009 and was last updated on 7/22/2009.

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
1163WL0100XRegistered NurseLactation ConsultantRN428962CALIFORNIAYes

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: 3/30/2025

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