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Individual

DR. LISA S JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, MSN, RN

Contact information

Practice address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 740-2690
Mailing address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-7249

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
136778
NC
163WC1600X
Continuing Education/Staff Development Registered Nurse
136778
NC

Other

Enumeration date
03/12/2025
Last updated
03/12/2025
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