Individual
MR. GUSTAF ANDERS SYLVESTER-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 981-8025
(540) 853-0511
Mailing address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 981-8025
(540) 853-0511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173254
VA
Other
Enumeration date
03/10/2016
Last updated
02/06/2019
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