Healthcare Provider Details

I. General information

NPI: 1376577635
Provider Name (Legal Business Name): JEFFERY S JOHNS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DUKE SPINE CENTER -CLINIC 1B/IC 200 TRENT DR
DURHAM NC
27710
US

IV. Provider business mailing address

DUKE SPINE CENTER -CLINIC 1B/IC 200 TRENT DR
DURHAM NC
27710
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-7777
  • Fax:
Mailing address:
  • Phone: 919-684-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number200201266
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME 96981
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD50027
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: