Individual
CELESTINE D JOHNSON-GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 W YORK ST STE 905, NORFOLK, VA 23510-2015
(757) 623-3038
Mailing address
142 W YORK ST STE 905, NORFOLK, VA 23510-2015
(757) 623-3038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180947
VA
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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