Individual provider · Type 1 NPI
Amanda F. Johnson, NP
Pediatric Nurse Practitioner · Raleigh, NC
NPI number
1083830137
Active
Practice location
7990 Arco Corporate Dr Ste 110
Raleigh, NC 27617-2030
Fax (919) 488-1455
Mailing address
260 Horizon Dr
Raleigh, NC 27615-4922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 158854 (NC) |
| Nurse Practitioner | 363L00000X | 158854 (NC) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 158854 (NC) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1083830137
Amanda F. Johnson, NP's National Provider Identifier is 1083830137, issued on Apr 17, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Raleigh, NC. The record was last updated on Sep 26, 2013.