Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3145 VIRGINIA BEACH BLVD STE 108, VIRGINIA BEACH, VA 23452-6950
(757) 664-9700
(757) 664-9701
Mailing address
3145 VIRGINIA BEACH BLVD STE 108, VIRGINIA BEACH, VA 23452-6950
(757) 664-9700
(757) 664-9701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024171804
VA
363L00000X
Nurse Practitioner
3007008
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024171804
VA
Other
Enumeration date
07/27/2011
Last updated
12/07/2023
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