Individual
KRISTON JOHNSON SANDIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, PMHNP-BC
Contact information
Practice address
2215 LANGHORNE RD, LYNCHBURG, VA 24501-1121
(434) 948-4831
Mailing address
2215 LANGHORNE RD, LYNCHBURG, VA 24501-1121
(434) 948-4831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024172379
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024172379
VA
Other
Enumeration date
02/15/2015
Last updated
03/27/2025
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