| Doctor Name: | BONNIE P JOHNSON |
| NPI Number: | 1093779183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 0024165049 |
| Business Practice Address: | 1401 Johnston Willis Dr Suite 100 North Chesterfield, VA - 232354730 |
| Business Phone Number: | 8043307990 |
| Business Fax Number: | 8043303541 |
| Mailing Address: | 7202 Glen Forest Dr, Suite 200 RICHMOND |
| State: | VA |
| Postal Code: | 232263781 |
| Phone Number: | 8046730134 |
| Fax Number: | 8046731796 |
| NPI Enumeration Date: | 04/14/2006 |
| NPI Last Update Date: | 08/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 0024165049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |