DESHAH JALEN JOHNSON

WAKE FOREST, NC
NPI1013737212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC  5021005)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: NC  5021005)
Enumeration Date2024-10-12
Last Update Date2024-10-12
Business Address
DESHAH JALEN JOHNSON NP
833 WAKE FOREST BUSINESS PARK STE F
WAKE FOREST, NC 27587-7184
Phone number: 919-230-1419
Mailing Address
DESHAH JALEN JOHNSON NP
200 PARK AT NORTH HILLS ST APT 1208
RALEIGH, NC 27609-2651
Phone number: 910-554-8203