Individual
MS. DIANNE E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-2821
(434) 924-9400
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164048
VA
363LF0000X
Family Nurse Practitioner
RN2313205
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010205115
—
VA
01
—
C06695
GROUP PTAN
VA
01
—
C06778
GROUP PTAN
VA
Enumeration date
02/22/2006
Last updated
04/12/2024
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