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JOHNA PHILLIPS BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
300 VEAZEY DR, BUTNER, NC 27509-1668
(919) 764-5610
Mailing address
1566 POPE RD, CREEDMOOR, NC 27522-8794
(828) 443-5700

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
171084
NC

Other

Enumeration date
04/19/2019
Last updated
04/19/2019
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