Individual provider · Type 1 NPI

Shirlene Johnson, AGPCNP-BC

Gerontology Nurse Practitioner · Virginia Beach, VA

NPI number 1407507296 Active

Practice location

236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X0024183416 (VA)
Gerontology Nurse Practitioner Primary 363LG0600X0024183416 (VA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1407507296

Shirlene Johnson, AGPCNP-BC's National Provider Identifier is 1407507296, issued on Jan 12, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Virginia Beach, VA. The record was last updated on Apr 2, 2024.