Individual
LOCIENDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
497 MALL RD, OAK HILL, WV 25901-6115
(304) 469-2905
Mailing address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106987
WV
Other
Enumeration date
08/13/2020
Last updated
10/09/2023
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