NPI 1114717733

Bruce Johnson

Practitioner Nursing Home Administrator New Kent, VA

Practice location

Address: 7493 E Danube Loop, New Kent, VA 23124-2636
Phone: (804) 943-8735
Fax: (804) 932-0010

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X

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Registry record

NPI: 1114717733
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2025
Record last updated: 12 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.