Individual
JENNIFER WOOTTON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 343-7000
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(828) 580-6753
(828) 580-6759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017-01749
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134546278
—
NC
Enumeration date
03/26/2014
Last updated
09/26/2023
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