SANDRIVETTE V JOHNSON NP

MIDTOWN DERMATOLOGY, PC

Dr SANDRIVETTE V JOHNSON NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2002.

Contact

MIDTOWN DERMATOLOGY, PC

5904 SIX FORKS RD
SUITE 211
RALEIGH
NC
276098228

Tel: 9842420510

SANDRIVETTE V JOHNSON NP Information

Npi 1740201458
Pac Id 6507760097
Professional Enrollment Id I20031125000889
Last Name JOHNSON
First Name SANDRIVETTE
Middle Name V
Suffix
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 2002
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MIDTOWN DERMATOLOGY, PC
Group Practice Pac Id 2062632599
Number Of Group Practice Members 2
Line 1 Street Address 5904 SIX FORKS RD
Line 2 Street Address SUITE 211
Marker Of Address Line 2 Suppression
City RALEIGH
State NC
Zip Code 276098228
Phone Number 9842420510
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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