| NPI | 1194382945 |
|---|---|
| Doing Business As | MOBILE FNP JR JOHNSON PLLC |
| Entity Type | Organization |
| Authorized Contact | JULIE RANDOLPH JOHNSON Owner 336-639-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-10-31 |