Healthcare Provider Details

I. General information

NPI: 1982597084
Provider Name (Legal Business Name): ASIA JOHNSON CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 HORTON BLVD SW
WILSON NC
27893-4444
US

IV. Provider business mailing address

2500 HORTON BLVD SW
WILSON NC
27893-4444
US

V. Phone/Fax

Practice location:
  • Phone: 252-206-1000
  • Fax:
Mailing address:
  • Phone: 252-206-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number979
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: