person
Mrs. Molly L Johnson, FNP-BC
Family Nurse Practitioner in Wytheville, Virginia
NPI 1962757369

Molly L Johnson is a Family Nurse Practitioner based in Wytheville, VA and is specialized in Family. Molly L Johnson practices in Wytheville, VA and has the professional credentials of FNP-BC. The NPI Number for Molly L Johnson is 1962757369 and holds a License No. 0024170209 (Virginia).

The current practice location address for Molly L Johnson is 210 Pepsi Way, Wytheville, VA and can be reached out via phone at 276-625-2354 and via fax at 276-625-2357.

Location: 210 Pepsi Way, Wytheville, VA, 24382-3030
person
Provider Profile Details
NPI Number
1962757369
Provider Name
Molly L Johnson
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
210 Pepsi Way, Wytheville, VA, 24382-3030
Phone Number
276-625-2354
Fax Number
276-625-2357
Provider Enumeration Date
07/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01130767 01 VA PTAN
1962757369 05 VA
261083931 01 TAX ID
institution
Provider Business Practice Location Address Details
Address
210 Pepsi Way
City
State
Zip
24382-3030
Phone Number
276-625-2354
Fax Number
276-625-2357
person
Provider Business Mailing Address Details
Address
210 Pepsi Way
City
State
Zip
24382-3030
Phone Number
276-625-2354
Fax Number
276-625-2357
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024170209 (Virginia)
Definition
Definition to come...
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