Individual
JENNIFER CAMPBELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, IFNCP
Contact information
Practice address
8801 FAST PARK DR STE 301, RALEIGH, NC 27617-4853
(910) 663-5166
(888) 856-3502
Mailing address
1229 SHINING WATER LN, CREEDMOOR, NC 27522-7246
(919) 632-5283
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L007258
NC
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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