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Traci L. Johnson

Debarred entity

Traci L. Johnson is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Traci L. Johnson				[sources]
Other name	Jackson, Tracey L · Jackson, Traci L · Jackson, Tracy Lee · Johnson, Tracey L · Johnson, Tract L · 1 more...				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Traci				[sources]
Last name	Johnson				[sources]
Middle name	L.				[sources]
NPI	`1790007458`				[sources]
Registration number	`95296956`				[sources]
Sector	Registered Nurse				[sources]
Address	2541 Clearlake Drive, Grand Prairie, TX, 75054-6824				[sources]
Last change	2025-01-17	Last processed	2025-01-21	First seen	2025-01-17

Sanctions
Authority	Program	Start date	End date
Department of Health Care Services	-	2024-10-07	-

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS

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