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

Jacqueline Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174179790

Jacqueline Johnson is a Student in an Organized Health Care Education/Training Program in Hayward, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

24301 Southland Dr Ste 300
Hayward, CA 94545-1546
Phone: (510) 300-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174179790
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2019
Last updated in NPPESAugust 11, 2019
Mailing address24301 Southland Dr Ste 300, Hayward, CA 94545-1546

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