Individual
MS. JERUSHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
8410 SIX FORKS RD STE 104, RALEIGH, NC 27615-3079
(336) 541-8167
(336) 294-8091
Mailing address
PO BOX 9804, GREENSBORO, NC 27429-0804
(336) 541-8167
(336) 294-8091
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003690
NC
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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