Individual
KIMBERLY JOBE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2001 WESTON PKWY, CARY, NC 27513-5512
(919) 484-4884
Mailing address
6144 MIMS RD, HOLLY SPRINGS, NC 27540-9554
(919) 395-6769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5016497
NC
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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