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.
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
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)