Individual
AVIS SHAQUAN HOWELL- JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN,CCRN
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Mailing address
1709 GLAZEBROOK DR, WAKE FOREST, NC 27587-3477
(803) 413-7176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
318202
NC
163WP0200X
Pediatric Registered Nurse
318202
NC
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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