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

Mrs. Joselyn M Johnson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1467819128

Mrs. Joselyn M Johnson, NURSEPRACTITIONER is a Nurse Practitioner in Manteca, California. Qualified in 2006, 20 years ago. Practices with Golden State Dermatology Associates, Inc, a 119-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2016

Practice location Address checks out

296 Cottage Ave
Manteca, CA 95336-4942
Phone: (209) 239-2901
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 585839 (CA)

Record details

NPI number1467819128
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJanuary 25, 2016
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Golden State Dermatology Associates, Inc. — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manteca