Dr. Jeanette R Johnson
Primary Podiatric Medicine
6 Regional Cr Suite A
Pinehurst
, North Carolina 28374
Dr. Jeanette R Johnson
Primary Podiatric Medicine
6 Regional Cr Suite A
Pinehurst
, North Carolina 28374
(910) 295-9255
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Jeanette R Johnson
- 6 Regional Cr Suite A
- Pinehurst, NC
- Zip : 28374
- Phone : (910) 295-9255
Second Address
- Dr. Jeanette R Johnson
- 6 Regional Cr Suite A
- Pinehurst, NC
- Zip : 28374
- Fax : (910) 295-7255
- Phone : (910) 295-9255
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 531 | NC |
National Provider Identifier
| NPI | 1255337804 |
|---|---|
| Provider Name | Dr. Jeanette R Johnson |
| First Address | Pinehurst, NC 28374 |
| Second Address | Pinehurst, NC 28374 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2005 |
| Last Update Date | 09/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 65554 | BLUE CROSS/BLUE SHIELD (01) | FL |
| U68700 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.