Individual
JOANNA TIAIRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4389 BEAUFORT, HAVELOCK, NC 28532
(252) 466-0108
Mailing address
4389 BEAUFORT, HAVELOCK, NC 28532
(252) 466-0108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170853
VA
Other
Enumeration date
05/06/2013
Last updated
05/13/2016
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