Individual
CHARLENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(203) 606-2229
Mailing address
5560 PONY FARM DR APT D, RICHMOND, VA 23227-2620
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
000-1309235
VA
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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