Individual
COURTNEY JOHNS CHANNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8081 INNOVATION PARK DR STE 602, FAIRFAX, VA 22031-4867
(571) 472-3270
(571) 472-3271
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024177570
VA
363LA2200X
Adult Health Nurse Practitioner
APN0000020484
TN
Other
Enumeration date
12/20/2015
Last updated
12/19/2022
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