Individual
MS. JANICE C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1302 LEXINGTON AVE, THOMASVILLE, NC 27360-3419
(336) 475-6139
(336) 475-3331
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 475-6139
(336) 475-3331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900333
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8928974
—
NC
Enumeration date
07/12/2006
Last updated
10/25/2020
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