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

Tracey J Johnson, NP

Individual provider Nurse Practitioner · NPI 1053410571

Tracey J Johnson, NP is a Nurse Practitioner in Roseville, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3 Medical Plaza Dr #260
Roseville, CA 95661-3087
Phone: (916) 773-7977
Fax: (916) 773-7979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP6930 (CA)

Record details

NPI number1053410571
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESOctober 25, 2013
Mailing address10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539

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