Individual
JAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 620-4467
Mailing address
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3511, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
900114
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
56165
NC
Other
Enumeration date
10/25/2006
Last updated
04/08/2015
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