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NPI Code Detail

MEDICARE: LEAH JOHNSON

MEDICARE: LEAH JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse297063NC

General Provider Information

NPI Number : 1134051048
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH JOHNSON
Provider Business Mailing Address
First Line : 3617 SECREST LNDG
Second Line :
City : MONROE
State : NC
Zip : 28110-7180
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10628 PARK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-8407
Country : US
Telephone Number : 704-667-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ LEAH JOHNSON ” Practice Location

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