Individual
MS. NANCY E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5999 BURKE COMMONS ROAD, BURKE, VA 22015-2880
(703) 249-7700
(703) 249-7766
Mailing address
2101 EAST JEFFERSON STREET, KALSER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001104654
VA
363L00000X
Nurse Practitioner
0024104654
VA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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