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NPI Code Detail

MEDICARE: JAMIE JOHNSON MSN, ACCNS-N, CCRN

MEDICARE:   JAMIE  JOHNSON  MSN, ACCNS-N, CCRN
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
1364SN0000XNeonatal Clinical Nurse Specialist571NC

General Provider Information

NPI Number : 1447085808
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE JOHNSON MSN, ACCNS-N, CCRN
Provider Business Mailing Address
First Line : 4006 CATFISH WAY
Second Line :
City : DURHAM
State : NC
Zip : 27703-6578
Country : US
Telephone Number : 919-896-0477
Fax Number :
Provider Business Practice Location Address
First Line : 2301 ERWIN RD RM 5520
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number : 919-684-1337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2024
Last Update Date : 09/05/2024

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