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

Gloria Omar Johnson

Individual provider Licensed Practical Nurse · NPI 1114692159

Gloria Omar Johnson is a Licensed Practical Nurse in Richmond, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2021

Practice location Address checks out

4926 W Broad St
Richmond, VA 23230-3122
Phone: (804) 673-5241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 0002023000 (VA)

Record details

NPI number1114692159
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2021
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021
Mailing address602 Milton St, Richmond, VA 23222-2843

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