Individual
KAITLYN MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
46440 BENEDICT DRIVE, SUITE 107, STERLING, VA 20164-6602
(703) 450-1125
Mailing address
224D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024196712
VA
363LF0000X
Family Nurse Practitioner
Primary
24196712
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285581934
—
VA
05
—
30018520930001
—
VA
Enumeration date
03/12/2026
Last updated
05/01/2026
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