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

Gracie Beth Johnson, APRN

Individual provider Registered Nurse · NPI 1124970942

Gracie Beth Johnson, APRN is a Nurse Practitioner in Norfolk, Virginia. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Tennessee and Virginia.

Years since qualifying
3
Licensed in
TN, VA
In the registry since
2026
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

5357 Henneman Dr
Norfolk, VA 23513-2401
Phone: (833) 510-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024196408 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 260709 (TN)

Record details

NPI number1124970942
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedFebruary 12, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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