Individual
DELORES EDWARDS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
910 WORTH ST, MOUNT AIRY, NC 27030-4458
(336) 786-5108
(336) 783-6842
Mailing address
910 WORTH ST, MOUNT AIRY, NC 27030-4458
(336) 786-5108
(336) 783-6842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
139733
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5004674
LICENSE
NC
Enumeration date
03/30/2010
Last updated
04/09/2024
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