Individual
MISS VICKIE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
311 JUDGES RD STE 4E, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 399-2190
Mailing address
PO BOX 22403, BELFAST, ME 04915-4476
(888) 402-7256
(888) 902-1099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13530
TN
363LA2200X
Adult Health Nurse Practitioner
13530
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5022905
NC
Other
Enumeration date
01/12/2010
Last updated
12/19/2025
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