Individual
MRS. JODI RECHETTA JOHNSON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
508 FULTON STREET #112, DUNHAN, NC 27705
(919) 286-0411
(919) 416-5857
Mailing address
508 FULTON ST # 112, DURHAM, NC 27705-3875
(919) 286-0411
(919) 416-5857
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006753
NC
Other
Enumeration date
03/17/2014
Last updated
04/27/2016
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