Individual provider · Type 1 NPI
Bruce Johnson
Nursing Home Administrator · New Kent, VA
NPI number
1114717733
Active
Practice location
7493 E Danube Loop
New Kent, VA 23124-2636
Fax (804) 932-0010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | None listed |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
About NPI 1114717733
Bruce Johnson's National Provider Identifier is 1114717733, issued on May 7, 2025. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in New Kent, VA. The record was last updated on May 12, 2025.