| Doctor Name: | VIVIENE JOHNSON |
| NPI Number: | 1689871303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | VI5457 |
| Business Practice Address: | 9048 Sugar Estate St. Thomas, VI - 00802 |
| Business Phone Number: | 3407778804 |
| Business Fax Number: | |
| Mailing Address: | Po Box 10626, ST THOMAS |
| State: | VI |
| Postal Code: | 008013626 |
| Phone Number: | 3407778804 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | VI5457 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |