Mobile Fnp Jr Johnson Pllc

LBN: Mobile Fnp Jrjohnson
Mobile Fnp Jr Johnson Pllc is an health care organization with primary practice located at 236 N Mebane St Ste 123 , Burlington NC 27217-3900. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Mobile Fnp Jrjohnson can be contacted via phone (336) 639-7149, or through Johnson, Julie Randolph via phone (336) 639-7149.

Contact Information

Primary practice address
236 N Mebane St Ste 123 Burlington NC 27217-3900
Phone: (336) 639-7149
Fax: (336) 639-7141
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Julie Randolph Family Nurse Practitioner (FNP)
Phone: (336) 639-7149

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1194382945
LBN Legal business name Mobile Fnp Jrjohnson
DBA Doing business as Mobile Fnp Jr Johnson Pllc
Authorized official Johnson, Julie Randolph Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2019
Last updated Oct 31st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194382945 NPPES
North Carolina MEDICAID 1013300383
North Carolina MEDICAID 1194382945

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