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

Kaelyn Johnson

Individual provider Licensed Vocational Nurse · NPI 1023824968

Kaelyn Johnson is a Licensed Vocational Nurse in Stockton, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1947 N California St Ste B&c
Stockton, CA 95204-6034
Phone: (209) 463-0870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 742458 (CA)

Record details

NPI number1023824968
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2024
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address3828 Otto Dr, Stockton, CA 95209-1173

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