Individual provider · Type 1 NPI

Tucker Lee Johnson, FNP

Nurse Practitioner · Wilmington, NC

NPI number 1376115865 Active

Practice location

1415 Physicians Dr
Wilmington, NC 28401-7338

Fax (910) 662-9501

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X261515 (NC)
Nurse Practitioner Primary 363L00000X5014723 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1376115865

Tucker Lee Johnson, FNP's National Provider Identifier is 1376115865, issued on Jul 14, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilmington, NC. The record was last updated on Sep 13, 2021.