Individual
MRS. MARISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
510 CAROLINA BAY DR STE 110, WILMINGTON, NC 28403-2046
(910) 662-6000
(910) 550-3787
Mailing address
112 MEDICAL VILLAGE DR STE G, WALLACE, NC 28466-1665
(910) 552-1580
(910) 665-1780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
326265
NC
Other
Enumeration date
06/17/2024
Last updated
03/18/2025
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