Individual provider · Type 1 NPI
Susan Mayberry Johnson, RN
Administrator Registered Nurse · Statesville, NC
NPI number
1477654192
Active
Practice location
318 Turnersburg Hwy
Statesville, NC 28625-2798
Mailing address
112 Knollcrest Ln
Statesville, NC 28625-2285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 086530 (NC) |
Administrator Registered Nurse: Definition to come...
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About NPI 1477654192
Susan Mayberry Johnson, RN's National Provider Identifier is 1477654192, issued on Sep 26, 2006. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Statesville, NC. The record was last updated on Jul 8, 2007.