Individual
LINDSEY SERENA PLATO-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4049 MAIN ST, CHINCOTEAGUE ISLAND, VA 23336-2406
(757) 336-3682
Mailing address
4049 MAIN ST, CHINCOTEAGUE ISLAND, VA 23336-2406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R179028
MD
363LF0000X
Family Nurse Practitioner
0024171594
VA
363LF0000X
Family Nurse Practitioner
Primary
R179028
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562112700
—
MD
Enumeration date
07/22/2010
Last updated
04/26/2014
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