Johnson, Raeanne Tatem

Johnson, Raeanne Tatem is an individual health care provider with primary practice located at 1005 Big Oak Ct , Knightdale NC 27545-6565. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Johnson, Raeanne Tatem can be contacted via phone (919) 266-5669.

Contact Information

Primary practice address
1005 Big Oak Ct Knightdale NC 27545-6565
Phone: (919) 266-5669
Fax: (919) 488-1717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5007103 North Carolina
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 20227375 North Carolina

Profile Details

NPI number 1245639830
LBN Legal business name Johnson, Raeanne Tatem
Credentials RN,MSN,CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2014
Last updated Jul 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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