Individual provider · Type 1 NPI

Raeanne Tatem Johnson, RN, MSN, CPNP-PC

Developmental - Behavioral Pediatrics Physician · Knightdale, NC

NPI number 1245639830 Active

Practice location

1005 Big Oak Ct
Knightdale, NC 27545-6565

Fax (919) 488-1717

Mailing address

260 Horizon Dr
Raleigh, NC 27615-4922

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X5007103 (NC)
Developmental - Behavioral Pediatrics Physician Primary 2080P0006X20227375 (NC)

Developmental - Behavioral Pediatrics Physician: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions…

3 other providers at this address

About NPI 1245639830

Raeanne Tatem Johnson, RN, MSN, CPNP-PC's National Provider Identifier is 1245639830, issued on Aug 19, 2014. The primary taxonomy on file is Developmental - Behavioral Pediatrics Physician (2080P0006X), and the practice location is in Knightdale, NC. The record was last updated on Jul 11, 2022.