Individual
TUCKER LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1415 PHYSICIANS DR, WILMINGTON, NC 28401-7338
(910) 662-9500
(910) 662-9501
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-9500
(910) 662-9501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
261515
NC
363L00000X
Nurse Practitioner
Primary
5014723
NC
Other
Enumeration date
07/14/2021
Last updated
09/13/2021
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