Individual
DR. JOHANNA LYNN GASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGNP-C
Contact information
Practice address
10040 PENTLAND HILLS WAY, BRISTOW, VA 20136-2665
(202) 497-8348
(703) 995-0930
Mailing address
10040 PENTLAND HILLS WAY, BRISTOW, VA 20136-2665
(202) 497-8348
(703) 952-1103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024176770
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386750420
—
OH
Enumeration date
10/29/2018
Last updated
07/15/2023
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