Individual
MR. BRENT HENRY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 HOSPITAL DR, HENDERSONVILLE, NC 28792-5272
(828) 684-8501
Mailing address
294 ROANOKE RD, FLETCHER, NC 28732-0016
(864) 630-4012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
223565
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
126127
SC
Other
Enumeration date
01/10/2019
Last updated
11/14/2023
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