Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 00000000 | NC |
NPI | 1013428317 |
---|---|
Provider Name | Hannah Dimsdale Johnson |
First Address | Durham, NC 27713-9130 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2017 |
Last Update Date | 13/10/2017 |