Individual
CYNTHIA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
111 N HOFFMAN ST, DALLAS, NC 28034-1597
(704) 470-7092
(949) 864-3002
Mailing address
818 PARKWOOD RD, SHELBY, NC 28150-5535
(704) 470-7092
(949) 864-3002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932483252
—
NC
01
—
NC4006C
MEDICARE PTAN
NC
01
—
NP3419
MEDICARE PTAN
SC
05
—
SCP3714292
—
SC
Enumeration date
10/05/2011
Last updated
08/24/2025
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