SearchCaliforniaPrimary Care Clinic/Center

Katherine Pettyjohn, FNP-BC

NPI 1568945285 · on the registry since 2018 · sole proprietor

Practice

Address
1409 Lecourbe Ct
Modesto, CA 95356
Phone
(209) 409-8239
Fax
(209) 409-8239
Organisation at this address
Advance Nursing Practice Medical Group Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Primary Care Clinic/Center
261QP2300X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California