Individual
JANELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
1920 BEDFORD ST APT 15, DURHAM, NC 27707-2009
(919) 724-7132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
199203
NC
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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