# CAMILLE M JOHNSON

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

## Provider details

- **NPI number:** 1811049448
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | RN3105332 | GA | — |
| 363L00000X | Nurse Practitioner | RN3105332 | GA | Yes |
| 363LF0000X | Family Nurse Practitioner | 201599 | NC | — |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 06/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1811049448 | — | NC |