Individual
MS. SANDRIVETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5904 SIX FORKS RD STE 211, RALEIGH, NC 27609-8228
(984) 242-0510
(984) 242-0520
Mailing address
5904 SIX FORKS RD STE 211, RALEIGH, NC 27609-8228
(984) 242-0510
(984) 242-0520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCY997D895
MEDICARE
NC
01
—
P02076810
RAILROAD MEDICARE
—
Enumeration date
07/21/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us