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NPI Code Detail

MEDICARE: MISS REBECCA ANNE JOHNSON FNP-BC

MEDICARE: MISS REBECCA ANNE JOHNSON FNP-BC
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
1363LF0000XFamily Nurse Practitioner5017385NC

General Provider Information

NPI Number : 1982317947
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS REBECCA ANNE JOHNSON FNP-BC
Provider Business Mailing Address
First Line : 421 FAYETTEVILLE ST STE 1100
Second Line :
City : RALEIGH
State : NC
Zip : 27601-3000
Country : US
Telephone Number : 888-731-8994
Fax Number :
Provider Business Practice Location Address
First Line : 421 FAYETTEVILLE ST STE 1100
Second Line :
City : RALEIGH
State : NC
Zip : 27601-3000
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2023
Last Update Date : 02/09/2026

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Directions to “ MISS REBECCA ANNE JOHNSON FNP-BC” Practice Location

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