NPI 1164447512

Susan K Johnson, FNP

Practitioner Family Nurse Practitioner Bristol, VA

Practice location

Address: 300 W Valley Dr, Bristol, VA 24201
Phone: (276) 466-1600
Fax: (276) 466-2800
Mailing address: PO Box 16852, Bristol, VA 24209-6852

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 0024166977 (VA)

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Registry record

NPI: 1164447512
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2006
Record last updated: 30 Jan 2019

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.