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Gloria Omar Johnson
Licensed Practical Nurse in Richmond, Virginia
NPI 1114692159

Gloria Omar Johnson is a Licensed Practical Nurse based in Richmond, VA. Gloria Omar Johnson practices in Richmond, VA. The NPI Number for Gloria Omar Johnson is 1114692159 and holds a License No. 0002023000 (Virginia).

The current practice location address for Gloria Omar Johnson is 4926 W Broad St, Richmond, VA and can be reached out via phone at 804-673-5241.

Location: 4926 W Broad St, Richmond, VA, 23222-2843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114692159
Provider Name
Gloria Omar Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4926 W Broad St, Richmond, VA, 23222-2843
Phone Number
804-673-5241
Fax Number
Provider Enumeration Date
08/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4926 W Broad St
City
Richmond
State
Virginia
Zip
23230-3122
Phone Number
804-673-5241
Fax Number
person
Provider Business Mailing Address Details
Address
4926 W Broad St
City
Richmond
State
Virginia
Zip
23230-3122
Phone Number
804-673-5241
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
0002023000 (Virginia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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