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Individual

CHELSE R JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2 CHATEAU GROVE LN, BARBOURSVILLE, WV 25504-1626
(304) 736-9662
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103859
WV

Other

Enumeration date
08/02/2019
Last updated
11/20/2024
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