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Individual

JOHNNY JUNIOR ZEPEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
711 EXECUTIVE PL, FAYETTEVILLE, NC 28305-5193
(910) 615-3333
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-3333

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5023739
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95035771
CA

Other

Enumeration date
08/05/2022
Last updated
05/01/2026
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