Individual
MR. WILTON EDWARD JOHNS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 MOOSE DR, CHRISTIANSBURG, VA 24073-4218
(540) 381-3171
Mailing address
1641 LANCING DR APT 274, SALEM, VA 24153-7550
(804) 840-6779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001260934
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
0024189933
VA
Other
Enumeration date
08/15/2023
Last updated
11/12/2024
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