Individual
MARJORIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7440 SPRING VILLAGE DR, SPRINGFIELD, VA 22150-4446
(703) 923-4644
(703) 923-4625
Mailing address
701 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-5968
(703) 923-4644
(703) 923-4625
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0017001376
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016
CAREFIRST
—
01
—
1407886559
BCBS-VA
—
01
—
64650001
BCBS OF MD
MD
01
—
8305186
EVERCARE
—
Enumeration date
07/04/2006
Last updated
06/05/2009
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