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NPI Code Detail

MEDICARE: LINDSEY SERENA PLATO-JOHNSON CRNP

MEDICARE:   LINDSEY SERENA PLATO-JOHNSON  CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseR179028MD
2363LF0000XFamily Nurse PractitionerR179028MD
3363LF0000XFamily Nurse Practitioner0024171594VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043523731
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY SERENA PLATO-JOHNSON CRNP
Provider Business Mailing Address
First Line : 4049 MAIN ST
Second Line :
City : CHINCOTEAGUE ISLAND
State : VA
Zip : 23336-2406
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4049 MAIN ST
Second Line :
City : CHINCOTEAGUE ISLAND
State : VA
Zip : 23336-2406
Country : US
Telephone Number : 757-336-3682
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2010
Last Update Date : 04/26/2014

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Directions to “ LINDSEY SERENA PLATO-JOHNSON CRNP” Practice Location

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