Individual
BONNIE P JOHNSON
Active
Individual
BONNIE P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024165049
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C01120
MEDICARE GROUP PTAN
VA
Enumeration date
04/14/2006
Last updated
05/24/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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