Organization
COVENANT PRIMARY & BEHAVIORAL CARE
Active
Organization
COVENANT PRIMARY & BEHAVIORAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JOSHUA JOHNSON MSN FNP, PMHNP (CEO & PROVIDER)
(910) 778-5455
Entity
Organization
Contact information
Practice address
812 CANDY PARK RD STE 6101-A, PEMBROKE, NC 28372-9120
(910) 778-5455
(866) 423-7783
Mailing address
PO BOX 1629, PEMBROKE, NC 28372-1629
(910) 778-5455
(910) 208-0655
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/27/2021
Last updated
07/25/2022
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