Individual
JODIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 477-5152
(919) 477-5474
Mailing address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-5345
(919) 470-7371
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201338
NC
Other
Enumeration date
03/25/2006
Last updated
04/17/2025
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