Individual
JACQUELINE PATRICIA JOHNSON-BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14142 MINNIEVILLE RD, SUITE 207, WOODBRIDGE, VA 22193-2371
(877) 489-1538
(877) 637-4630
Mailing address
14142 MINNIEVILLE RD, SUITE 207, WOODBRIDGE, VA 22193-2371
(877) 489-1538
(877) 637-4630
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0001136456
VA
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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