Individual
AVA C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4049 MAIN ST, CHINCOTEAGUE, VA 23336-2406
(757) 336-3682
(757) 336-3703
Mailing address
4049 MAIN ST, CHINCOTEAGUE, VA 23336-2406
(757) 336-3682
(757) 336-3703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167876
VA
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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