National Provider Identifier

David Gardner Johnson

David Gardner Johnson is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-3327.

NPI 1205301496Rochester, NYNurse Practitioner

Source: public NPPES record, last updated January 23, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1205301496
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
October 04, 2018
Last Updated
January 23, 2023

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3095

Phone: (585) 922-3327

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Nurse Practitioner (363L00000X)

Endpoints

  • david.johnson@rochesterregional.org

    Direct Messaging Address | Rochester, NY 14621

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Full Record
NPI
1205301496
Entity Type
Individual
Last Name
Johnson
First Name
David
Middle Name
Gardner
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3095
Practice Country
US
Practice Phone
(585) 922-3327
Practice Fax
(585) 922-3835
Enumeration Date
October 04, 2018
Last Updated
January 23, 2023
Sex
Male
Sole Proprietor
No
Certification Date
January 23, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)