MRS. JULIE RANDOLPH JOHNSON FNP NPI 1013300383

NPI Information

NPI: 1013300383
Provider Name: MRS. JULIE RANDOLPH JOHNSON, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
236 N MEBANE ST STE 123
BURLINGTON, NC
ZIP 27217
Phone: (336) 639-7149
Get Directions

MRS. Julie Randolph Johnson, FNP is a psychiatric/mental health nurse practitioner in Burlington, NC with 10 years of experience. MRS. Julie Randolph Johnson, FNP NPI is 1013300383. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

236 N MEBANE ST STE 123
BURLINGTON, NC
ZIP 27217-900
Phone: (336) 639-7149
Fax: (336) 639-7141

The NPI 1013300383 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2015 and was last updated on 11/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	5007496	NORTH CAROLINA	No
2	363LG0600X	Nurse Practitioner	Gerontology	5007496	NORTH CAROLINA	No
3	363LC1500X	Nurse Practitioner	Community Health	5007496	NORTH CAROLINA	No
4	363LF0000X	Nurse Practitioner	Family	5007496	NORTH CAROLINA	No
5	363LW0102X	Nurse Practitioner	Women's Health	5007496	NORTH CAROLINA	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5007496	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1013300383	MEDICAID	NORTH CAROLINA
2	1194382945	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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