Individual
DR. LATINA BROOKS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
315 W 2ND ST, GREENVILLE, NC 27834-1969
(252) 507-0588
(252) 378-9008
Mailing address
315 W 2ND ST, GREENVILLE, NC 27834-1969
(252) 507-0588
(252) 378-9008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277045
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2020
Last updated
05/17/2020
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