Individual
DR. JESSICA RICHASON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA, DPM
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
(804) 675-4765
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
(804) 675-4765
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0116027528
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922416056
—
CO
Enumeration date
08/01/2014
Last updated
07/21/2022
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