Individual
STUART CRAIG JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
526 MOYE BLVD, GREENVILLE, NC 27834-2848
(252) 847-4158
Mailing address
2302 OLD HERITAGE PL, GREENVILLE, NC 27858-9308
(252) 902-8862
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5015669
NC
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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