Individual provider · Type 1 NPI
Rebecca Ely Johnson, RN
Adult Psychiatric/Mental Health Registered Nurse · Big Stone Gap, VA
NPI number
1366793002
Active
Practice location
1508 3rd Ave. East
Big Stone Gap, VA 24219
Fax (276) 523-4690
Mailing address
P.o. Box 888
Big Stone Gap, VA 24219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 0001065115 (VA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1366793002
Rebecca Ely Johnson, RN's National Provider Identifier is 1366793002, issued on Sep 20, 2012. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Big Stone Gap, VA. The record was last updated on Sep 20, 2012.