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

Johanna Jetton

Individual provider Advanced Practice Midwife · NPI 1114430105

Johanna Jetton is a Certified Nurse Midwife (CNM) in Berkeley, California. Qualified in 2017, 9 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2999 Regent St Ste 524
Berkeley, CA 94705-2120
Phone: (510) 244-0446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 22331 Mission Blvd, Hayward, CA 94541-3911 — (510) 471-5907
  • 33255 9th St, Union City, CA 94587-2137 — (510) 471-5907

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 235935 (CA)
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X · Licence 95007955 (CA)

Record details

NPI number1114430105
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2017
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address3211 King St, Berkeley, CA 94703-2434

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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