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NPI Code Detail

MEDICARE: DR. VANESSA M.P. JOHNSON M.D., M.P.H.

MEDICARE: DR. VANESSA M.P. JOHNSON M.D., M.P.H.
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
1207RH0003XHematology & Oncology Physician2025-02816NC
2207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician2025-02816NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326047549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VANESSA M.P. JOHNSON M.D., M.P.H.
Provider Business Mailing Address
First Line : 10 SEARLE CENTER DR
Second Line :
City : DURHAM
State : NC
Zip : 27710-3035
Country : US
Telephone Number : 919-681-6006
Fax Number : 919-684-0745
Provider Business Practice Location Address
First Line : 2301 ERWIN RD FL 9
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number : 919-681-9341
Fax Number : 919-681-7700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 09/23/2025

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