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Individual

KAYLA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2304 WESVILL CT STE 210, RALEIGH, NC 27607-2973
(847) 767-2582
Mailing address
5124 LIZARD TAIL LN, RALEIGH, NC 27603-8160

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5019858
NC

Other

Enumeration date
03/26/2024
Last updated
02/22/2025
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