Individual
BARBARA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
14121 PARKE LONG CT, CHANTILLY, VA 20151-1647
(516) 642-2161
Mailing address
1007 SIMONTON VIEW LN, LAWRENCEVILLE, GA 30045-3504
(516) 642-2161
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN183152
GA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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