Individual
NATHAN L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1000 LINCOLN DRIVE, CHARLESTON, WV 25309
(304) 768-4400
Mailing address
PO BOX 1145, GAULEY BRIDGE, WV 25085-1145
(304) 951-8334
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66178
WV
Other
Enumeration date
10/01/2012
Last updated
04/29/2014
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