Individual
CALLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3681 N MAIN ST, FARMVILLE, NC 27828-1464
(252) 753-7141
Mailing address
3681 N MAIN ST, FARMVILLE, NC 27828-1464
(252) 753-7141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5021438
NC
363LP2300X
Primary Care Nurse Practitioner
5021438
NC
Other
Enumeration date
01/06/2025
Last updated
01/28/2025
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