Individual
BRANDON LAWRENCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
1300 E MARSHALL ST FL 10, RICHMOND, VA 23298-5028
(804) 828-4360
Mailing address
1427 PORTER ST, RICHMOND, VA 23224-2065
(434) 258-4360
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024179817
VA
Other
Enumeration date
08/05/2020
Last updated
01/25/2024
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