Individual
DENISE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 716-2255
(336) 716-5438
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-5438
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900424
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335816
MEDICARE PTAN, GROUP
NC
05
—
7004034
—
NC
Enumeration date
01/17/2006
Last updated
09/04/2012
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