Most Relevant Information
Provider Data
| NPI Number: | 1003569898 |
| Provider Name: | ARCHELLE JOHNSON AG-PNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024183604 |
Most Important Dates
| Enumeration Date: | 02/01/2022 |
| Last Updated: | 08/27/2024 |
Provider Practice Location
101 BUFORD RD STE B111
NORTH CHESTERFIELD
VA
232355292
Practice Location Phone/Fax
| Phone: | 8048780942 |
| Fax: | 8885568809 |
Provider Mailing Location
3712 SUNORA DR
RICHMOND
VA
232341438
Provider Mailing Phone/Fax
| Phone: | 8048780942 |
| Fax: | 8665568809 |