Individual
KRISTINA RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 W FREEMASON ST STE 200, NORFOLK, VA 23510-1263
(757) 741-6033
(757) 741-6033
Mailing address
2115 CLAREMONT AVE, NORFOLK, VA 23507-1123
(707) 673-3407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010474
VA
Other
Enumeration date
01/09/2024
Last updated
08/28/2025
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