Individual provider · Type 1 NPI

Demetrous Johnston, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Chesapeake, VA

NPI number 1407460413 Active

Practice location

809 Kent Pl
Chesapeake, VA 23320-0768

Fax (833) 449-5172

Mailing address

1242 Corkwood Cir
Chesapeake, VA 23320-5107

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024180054 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1407460413

Demetrous Johnston, PMHNP-BC's National Provider Identifier is 1407460413, issued on Sep 7, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chesapeake, VA. The record was last updated on Mar 24, 2024.