Individual
DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5630 LOWERY RD, NORFOLK, VA 23502-2233
(757) 455-5009
Mailing address
5630 LOWERY RD, NORFOLK, VA 23502-2233
(757) 455-5009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/31/2019
Last updated
01/17/2024
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