MRS. MARY JO JOHNSON RD CDE NPI 1396836003

NPI Information

NPI: 1396836003
Provider Name: MRS. MARY JO JOHNSON, RD, CDE
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
510 BUTLER AVE
VETERANS AFFAIRS MEDICAL CENTER
MARTINSBURG, WV
ZIP 25405
Phone: (304) 263-0811
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MRS. Mary Jo Johnson, RD, CDE is a nutrition and metabolic dietitian registered in Martinsburg, WV. MRS. Mary Jo Johnson, RD, CDE NPI is 1396836003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

510 BUTLER AVE
VETERANS AFFAIRS MEDICAL CENTER
MARTINSBURG, WV
ZIP 25405
Phone: (304) 263-0811
Fax: (304) 262-7435

The enumeration date for this NPI number is 9/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	716432	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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