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MRS. MOLLY L JOHNSON FNP-BC
NPI 1962757369
Nurse Practitioner - Family in Wytheville, VA

Active since July 21, 2012
210 PEPSI WAY, WYTHEVILLE, VA 24382(276) 625-2354(276) 625-2357 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Molly L Johnson Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MOLLY L JOHNSON FNP-BC (NPI 1962757369) is an individual family provider in Wytheville, Virginia, licensed in Virginia (0024170209) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1962757369
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MOLLY L JOHNSONCredential: FNP-BC
Location Address210 PEPSI WAYWytheville, VA 24382-3030
Mailing Address210 Pepsi WayWytheville, VA 24382-3030 · (276) 625-2354 · Fax (276) 625-2357
Phone(276) 625-2354
Fax(276) 625-2357
Sole ProprietorNo
Enumeration DateJuly 21, 2012
Last NPPES UpdateApril 28, 2015
✔ NPI 1962757369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024170209
210 PEPSI WAY, Wytheville, VA 24382
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Other Identifiers 3

Medicaid1962757369VA
Other261083931Tax Id
OtherP01130767VA · Ptan

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Johnson's NPI number?

The NPI number for Molly Johnson is 1962757369. It was assigned to this individual provider in the NPPES registry on July 21, 2012.

Where is Molly Johnson located?

Molly Johnson practices at 210 Pepsi Way, Wytheville, VA 24382. The listed phone number is (276) 625-2354.

What is Molly Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Molly Johnson was last updated on April 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.