Individual
MRS. JENNIFER MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP, FNP
Contact information
Practice address
1420 FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 380-3722
(704) 380-3723
Mailing address
1420 FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 437-0841
(704) 380-3723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
689
NC
363LW0102X
Women's Health Nurse Practitioner
5011496
NC
367A00000X
Advanced Practice Midwife
689
NC
Other
Enumeration date
05/29/2018
Last updated
10/18/2023
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