Individual
TONYA CAUDILL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
401 ELDON PARKS DR, ELKIN, NC 28621-2462
(336) 835-9589
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 835-9589
(336) 835-4765
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016195
NC
363LF0000X
Family Nurse Practitioner
5016195
NC
Other
Enumeration date
05/12/2022
Last updated
05/06/2024
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