Individual
SHEILA SIMONE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-8341
Mailing address
2113 GRAMERCY PARK DR, GREENSBORO, NC 27406-8571
(336) 254-0170
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5012626
NC
363L00000X
Nurse Practitioner
Primary
5012626
NC
Other
Enumeration date
12/18/2019
Last updated
03/12/2020
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