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General NPI Number Information
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NPI Number | 1073359253
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Entity Type | Individual
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Provider Name | CHRYSTAL JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 07/08/2024
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 601 N ELM ST
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City | HIGH POINT
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State | NC
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Zip | 27262-4331
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Country | US
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Telephone | 336-878-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 601 N ELM ST
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City | HIGH POINT
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State | NC
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Zip | 27262-4331
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 262591
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5021391
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License Number State | NC
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