MOBILE FNP JRJOHNSON (NPI# 1194382945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194382945 |
| Entity Type | Organization |
| Organization Name | MOBILE FNP JRJOHNSON |
| Other Organization Name | MOBILE FNP JRJOHNSON PLLC |
| Practice Address |
236 N Mebane St Ste 123 Burlington NC 27217-3900 |
| Mailing Address |
821 Brooks Rd Reidsville NC 27320-7579 |
| Practice Telephone | 3366397149 |
| Practice Fax Number | 3366397141 |
| Mailing Telephone | 3366397149 |
| Mailing Fax Number | 3366397141 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | JULIE R RANDOLPH JOHNSON (OWNER/OPERATOR) |
| Authorized Official Telephone | 3364326970 |
| Authorized Official Credential | FAMILY NURSE PRA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1013300383 | 05 |
| Other Name | Type Code |
|---|---|
| Integrated Medical Facility | Doing Business As Name - Organization |
| Mobile FNP JRJohnson PLLC | Doing Business As Name - Organization |
| Mobile FNP JRJohnson PLLC | Other Name - Individual/Organization |
| Mobile FNP JRJohnson, PLLC | Doing Business As Name - Organization |
| Street Address |
236 N MEBANE ST STE 123 |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27217-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013300383 | Julie Randolph Johnson | Clinic/Center | 236 N Mebane St Ste 123, Burlington, NC 27217-3900 | 2015-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1003319302 | Universal Mental Health Services, Inc. | In Home Supportive Care | 2539 Hyde Street, Burlington, NC 27217 | 2018-03-13 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1639626153 | Nicole Spencer | Registered Nurse | 5270 Union Ridge Road, Burlington, NC 27217 | 2016-09-01 |
| 1649623869 | Deinyell Chelley | Community Health Worker | 2536 Mckinney Street, Burlington, NC 27217 | 2016-07-22 |
| 1093157240 | Alamance Academy, LLC | Community/Behavioral Health | 530 Rosenwald St, Burlington, NC 27217 | 2013-07-29 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1851739643 | Falcon Crest Residential | Community/Behavioral Health | 3309a N Nc Highway 49, Burlington, NC 27217 | 2013-06-13 |
| 1033554878 | Janice Putnam | Dietitian, Registered | 319 N Graham - Hopedale Road, Burlington, NC 27217 | 2013-05-07 |
| 1811226723 | Moving Forward | Community/Behavioral Health | 1146 N. Church St., Ste. A, Burlington, NC 27217 | 2009-12-24 |
| Find all providers in zip 27217 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356988828 | Jennifer Brennan, Aprn, Pllc | Nurse Practitioner | 86 Lake St, Burlington, VT 05401-5297 | 2019-12-04 |
| 1093253569 | Brittney Christina Locke | Nurse Practitioner | 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2017-02-05 |
| 1891147336 | Brian Kelley | Nurse Practitioner | 300 Flynn Ave, Burlington, VT 05401-5301 | 2016-07-08 |
| 1255799680 | Julia Martyn | Nurse Practitioner | 41 Mall Rd, Psychiatry and Behavioral Health, Burlington, MA 01805-0001 | 2016-01-30 |
| 1164857694 | Sarah R Morse | Nurse Practitioner | 617 Riverside Ave, Burlington, VT 05401-1601 | 2013-09-03 |
| 1619214574 | Caroline Tassey Plc | Nurse Practitioner | 1205 North Ave, Burlington, VT 05408-2804 | 2013-01-12 |
| 1306195805 | Kathleen M Keating | Nurse Practitioner | 149 Cherry St, Burlington, VT 05401-3817 | 2012-08-30 |
| 1427306232 | Peter Bordelon | Nurse Practitioner | 617 Riverside Ave, Burlington, VT 05401-1601 | 2012-08-28 |
| 1396052783 | Jessica Porter | Nurse Practitioner | 168 Battery St, Burlington, VT 05401-5285 | 2010-09-07 |
| 1356526446 | Laura L Wainer | Nurse Practitioner | 1 S Prospect St, Burlington, VT 05401-3456 | 2008-01-08 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27217 |
Please comment or provide details below to improve the information on MOBILE FNP JRJOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.