Individual
KATHRYN MARY CERVINO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
932 MORREENE RD, DURHAM, NC 27705-4410
(919) 668-2879
Mailing address
416 OVERLAND DR, CHAPEL HILL, NC 27517-2345
(919) 593-3149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5018960
NC
Other
Enumeration date
10/12/2023
Last updated
01/24/2024
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