Individual
LEAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-1000
Mailing address
3617 SECREST LNDG, MONROE, NC 28110-7180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
297063
NC
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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