Marquetta Johnson, LICENSED PRACTICAL N
NPI #1093381030 in Mebane, North Carolina
Provider Information
- NPI Number
- 1093381030
- Entity Type
- Individual
- Name
- Marquetta Johnson, LICENSED PRACTICAL N
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LICENSED PRACTICAL N
- Enumeration Date
- Jun 1, 2021
- Last Updated
- Jun 1, 2021
Practice Location
- Address
- 201 E CENTER ST APT 343
- City
- Mebane
- State
- North Carolina
- ZIP Code
- 27302-2561
- Phone
- (314) 437-3008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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