Individual
SHIRLENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
236 CLEARFIELD AVE STE 215, VIRGINIA BEACH, VA 23462-1893
(757) 853-1380
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024183416
VA
363LP2300X
Primary Care Nurse Practitioner
0024183416
VA
Other
Enumeration date
01/12/2022
Last updated
04/02/2024
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