Gloria Omar Johnson

Licensed Practical Nurse · Richmond, VA

Individual Active NPI

NPI number 1114692159

Practice location

4926 W Broad St
Richmond, VA 23230-3122
Phone
(804) 673-5241

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NPI record

NPI
1114692159
Entity type
Individual (Type 1)
Enumeration date
August 11, 2021
Last updated
August 11, 2021
Certified
August 11, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 0002023000 VA

Mailing address

602 Milton St
Richmond, VA 23222-2843
Phone
(804) 241-7596

About Gloria Johnson

Gloria Omar Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 4926 W Broad St, Richmond, VA 23230-3122. The NPI number 1114692159 was assigned on August 11, 2021 and the record was last updated on August 11, 2021.

Gloria Johnson lists a license in the registry: #0002023000 (VA) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gloria Omar Johnson?

The NPI number is 1114692159.

What is the phone number of Gloria Johnson?

The phone number listed for the practice location is (804) 673-5241.

Where is Gloria Johnson located?

4926 W Broad St, Richmond, VA 23230-3122.

What is the taxonomy code for Gloria Johnson?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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