Individual
JOHNNA LEA BULLUCK WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 LYNNDALE CT STE F, GREENVILLE, NC 27858-5443
(252) 353-8001
Mailing address
600 LYNNDALE CT STE F, GREENVILLE, NC 27858-5443
(252) 353-8001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
286198
NC
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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