Johnson, Delores Edwards
Johnson, Delores Edwards is an individual health care provider with primary practice located at 910 Worth St , Mount Airy NC 27030-4458. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Delores Edwards can be contacted via phone (336) 786-5108.Contact Information
Primary practice address
910 Worth St
Mount Airy NC 27030-4458
Phone: (336) 786-5108
Fax: (336) 783-6842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 139733 | North Carolina |
Profile Details
| NPI number | 1720303043 |
|---|---|
| LBN Legal business name | Johnson, Delores Edwards |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2010 |
| Last updated | Apr 9th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720303043 | NPPES |
| North Carolina | Other | 5004674 | LICENSE |
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