Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Johnson

Individual provider Family Nurse Practitioner · NPI 1063957009

Jacqueline Johnson is a Nurse Practitioner in West Covina, California. Graduated from Yale University School of Medicine in 2015, 11 years ago. Practices with Duke University Affiliated Physicians, Inc, a 449-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Trained at
Yale University School of Medicine
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

420 S Glendora Ave
West Covina, CA 91790
Phone: (616) 250-5247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95005643 (CA)

Record details

NPI number1063957009
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2016
Last updated in NPPESJanuary 12, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Duke University Affiliated Physicians, Inc. — 449 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in West Covina