Individual provider · Type 1 NPI

Marissa Johnson, FNP-C

Nurse Practitioner · Wilmington, NC

NPI number 1508609587 Active

Practice location

510 Carolina Bay Dr Ste 110
Wilmington, NC 28403-2046

Call (910) 662-6000 Map

Fax (910) 550-3787

Mailing address

112 Medical Village Dr Ste G
Wallace, NC 28466-1665

Other practice locations

  • 112 Medical Village Dr Ste G, Wallace, NC 28466-1665 · (910) 552-1580

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X326265 (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…

7 other providers at this address

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About NPI 1508609587

Marissa Johnson, FNP-C's National Provider Identifier is 1508609587, issued on Jun 17, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilmington, NC. The record was last updated on Mar 18, 2025.