Individual
MRS. JULIE RANDOLPH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
236 N MEBANE ST STE 123, BURLINGTON, NC 27217-3900
(336) 639-7149
(336) 639-7141
Mailing address
236 N MEBANE ST STE 123, BURLINGTON, NC 27217-3900
(336) 639-7149
(336) 639-7814
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
5007496
NC
363LW0102X
Women's Health Nurse Practitioner
5007496
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013300383
—
NC
05
—
1194382945
—
NC
Enumeration date
03/11/2015
Last updated
11/28/2023
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