Healthcare Provider Details

I. General information

NPI: 1245144625
Provider Name (Legal Business Name): ROWAN JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

858 READING RD
VIRGINIA BEACH VA
23451-4817
US

IV. Provider business mailing address

858 READING RD
VIRGINIA BEACH VA
23451-4817
US

V. Phone/Fax

Practice location:
  • Phone: 501-269-6575
  • Fax:
Mailing address:
  • Phone: 501-269-6575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: