IndividualActive
Demetria Johnson
NPI 1659150456 · Administrator Registered Nurse · Glen Allen, VA
Provider details
- NPI number
- 1659150456
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0001264629 (VA)
Specialties & taxonomies
Nursing Service Providers
Practice location
11206 Abbots Cross Ln
Glen Allen, VA 23059-1106
Phone: (516) 410-7618
Approximate (ZIP-level) locationGet directions
Mailing address
4990 Sadler Pl Unit 2621
Glen Allen, VA 23058-1225
Registry dates
- Enumerated
- 2023-09-22
- Last updated
- 2023-09-22
- Certified
- 2023-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.