Individual
KRISTAN LEEANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
571 S ALLEN RD, FLAT ROCK, NC 28731
(828) 692-6178
(828) 356-3998
Mailing address
57 DESTINATION DR, ASHEVILLE, NC 28806-7903
(859) 248-7908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5008151
NC
363LF0000X
Family Nurse Practitioner
Primary
5008151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
276187
RN
NC
01
—
5008151
NURSE PRACTIONER
NC
05
—
7100270770
—
KY
Enumeration date
10/13/2012
Last updated
04/13/2023
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