Johnson, Dianne E

Johnson, Dianne E is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-2821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Dianne E can be contacted via phone (434) 924-9400.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-2821
Phone: (434) 924-9400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2313205 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024164048 Virginia

Profile Details

NPI number 1306811419
LBN Legal business name Johnson, Dianne E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306811419 NPPES
Virginia Other C06778 GROUP PTAN
Virginia MEDICAID 010205115 GROUP PTAN
Virginia Other C06695 GROUP PTAN

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