Individual
MRS. AMANDA BRADLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11491 US 70 HWY W, CLAYTON, NC 27520-2207
(919) 550-2484
Mailing address
1328 W ST SE, WASHINGTON, DC 20020-5718
(202) 610-7160
(202) 610-7164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012876
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024905300
—
DC
Enumeration date
03/06/2012
Last updated
02/02/2022
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