Individual provider · Type 1 NPI

Gloria Omar Johnson

Licensed Practical Nurse · Richmond, VA

NPI number 1114692159 Active

Practice location

4926 W Broad St
Richmond, VA 23230-3122

Mailing address

602 Milton St
Richmond, VA 23222-2843

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002023000 (VA)

Licensed Practical Nurse: 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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About NPI 1114692159

Gloria Omar Johnson's National Provider Identifier is 1114692159, issued on Aug 11, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Richmond, VA. The record was last updated on Aug 11, 2021.