Individual
CHRISTY T JOHNSON-OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
213 N MAIN ST, BLACKSTONE, VA 23824-1425
(434) 292-7261
(434) 292-7965
Mailing address
7229 FOREST AVE STE 112, RICHMOND, VA 23226-3765
(804) 281-0275
(804) 521-9344
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024175489
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
MEDICARE PTAN
VA
Enumeration date
10/06/2017
Last updated
06/16/2018
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