Individual
GRACIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1377 PINE CONE CIR, VIRGINIA BEACH, VA 23453-2707
(423) 534-6380
Mailing address
1377 PINE CONE CIR, VIRGINIA BEACH, VA 23453-2707
(423) 534-6380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024196408
VA
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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