Individual provider · Type 1 NPI
Shannon Patrick Johnson, IDC
Independent Duty Corpsman · Norfolk, VA
Practice location
1004 Hermitage Rd, Bldg 2052
Norfolk, VA 23521-5000
Mailing address
1096 Valencia Ct
Virginia Beach, VA 23454-6789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…
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About NPI 1164635520
Shannon Patrick Johnson, IDC's National Provider Identifier is 1164635520, issued on May 8, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Norfolk, VA. The record was last updated on Jul 8, 2007.