# MRS. JULIE RANDOLPH JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013300383
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 5007496 | NC | — |
| 363LC1500X | Community Health Nurse Practitioner | 5007496 | NC | — |
| 363LF0000X | Family Nurse Practitioner | 5007496 | NC | — |
| 363LG0600X | Gerontology Nurse Practitioner | 5007496 | NC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5007496 | NC | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | 5007496 | NC | — |

## Other

- **Enumeration date:** 03/11/2015
- **Last updated:** 11/28/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1013300383 | — | NC |
| 05 | — | 1194382945 | — | NC |