Individual
ALICIA S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-3000
(910) 815-5464
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 667-3000
(910) 815-5464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011404
NC
363LF0000X
Family Nurse Practitioner
242819
NC
Other
Enumeration date
02/07/2019
Last updated
09/13/2022
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