IndividualActive
Bruce Johnson
NPI 1114717733 · Nursing Home Administrator · New Kent, VA
Provider details
- NPI number
- 1114717733
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
7493 E Danube Loop
New Kent, VA 23124-2636
Phone: (804) 943-8735
Fax: (804) 932-0010
Approximate (ZIP-level) locationGet directions
Mailing address
7493 E Danube Loop
New Kent, VA 23124-2636
Registry dates
- Enumerated
- 2025-05-07
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.