Individual
HYACINTHA P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41816 FENWAY CIR, ASHBURN, VA 20148-8069
(347) 761-7200
(703) 763-7272
Mailing address
1427 PORTER ST, RICHMOND, VA 23224-2065
(757) 869-2750
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024183852
VA
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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