Organization
MOBILE FNP JRJOHNSON
Active
Other names
Mobile FNP JR Johnson PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RANDOLPH JOHNSON FNP (OWNER)
(336) 639-7149
Entity
Organization
Contact information
Practice address
236 N MEBANE ST STE 123, BURLINGTON, NC 27217-3900
(336) 639-7149
(336) 639-7141
Mailing address
821 BROOKS RD, REIDSVILLE, NC 27320-7579
(336) 639-7149
(336) 639-7141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013300383
—
NC
05
—
1194382945
—
NC
Enumeration date
05/28/2019
Last updated
10/31/2023
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