Individual
DERIKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
12750 SAINT GEORGE ST APT E, NEWPORT NEWS, VA 23602-4421
(757) 955-7466
Mailing address
12750 SAINT GEORGE ST APT E, NEWPORT NEWS, VA 23602-4421
(757) 955-7466
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401196499
VA
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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