Organization · Type 2 NPI

Mobile FNP Jrjohnson

Addiction Medicine (Family Medicine) Physician · Burlington, NC

NPI number 1194382945 Active

Practice location

236 N Mebane St Ste 123
Burlington, NC 27217-3900

Call (336) 639-7149 Map

Fax (336) 639-7141

Mailing address

821 Brooks Rd
Reidsville, NC 27320-7579

Other practice locations

110 N Franklin St, Madison, NC 27025-1916 · (336) 612-1827

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Addiction Medicine (Family Medicine) Physician Primary	207QA0401X	None listed
Health Service Clinic/Center	261QH0100X	None listed
Primary Care Clinic/Center	261QP2300X	None listed
Nurse Practitioner	363L00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed
Primary Care Nurse Practitioner	363LP2300X	None listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

Another provider at this address

Julie Randolph Johnson, FNPPsychiatric/Mental Health Nurse Practitioner Burlington, NC NPI 1013300383

NPI record

NPI: 1194382945
Entity type: Organization (Type 2)
Issued: May 28, 2019
Last updated: Oct 31, 2023
Status: Active

Other names

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Mobile FNP JR Johnson PLLC · doing business as
Mobile FNP JR Johnson PLLC · doing business as

Authorized official

Julie Randolph Johnson, FNP
Owner
(336) 639-7149

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194382945

Mobile FNP Jrjohnson's National Provider Identifier is 1194382945, issued on May 28, 2019. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Burlington, NC. The record was last updated on Oct 31, 2023.