Most Relevant Information
Provider Data
| NPI Number: | 1003542143 |
| Provider Name: | SUMON JOHNSON NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | NP95017865 |
Most Important Dates
| Enumeration Date: | 07/30/2022 |
| Last Updated: | 07/30/2022 |
Provider Practice Location
2570 48TH ST
SACRAMENTO
CA
958171541
Practice Location Phone/Fax
| Phone: | 9167342145 |
| Fax: |
Provider Mailing Location
2570 48TH ST
SACRAMENTO
CA
958171541
Provider Mailing Phone/Fax
| Phone: | 9167342145 |
| Fax: |