Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Denise Oliver Johnson-Mason

Individual provider Developmental Disabilities Clinic/Center · NPI 1114792942

Denise Oliver Johnson-Mason is a Developmental Disabilities Clinic/Center in Norfolk, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2023
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Practice location Address checks out

3128 Illinois Ave
Norfolk, VA 23513-4128
Phone: (757) 228-0724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X · Licence 6650 (VA)

Record details

NPI number1114792942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2023
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

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