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

Johanne Mae Waggy, NP

Individual provider Gerontology Nurse Practitioner · NPI 1366001018

Johanne Mae Waggy, NP is a Gerontology Nurse Practitioner in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2019.

Licensed in
VA
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3251 Old Lee Hwy Ste 200
Fairfax, VA 22030-1504
Phone: (877) 868-4827
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 0024177230 (VA)

Record details

NPI number1366001018
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

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