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Mallory Brooke Johnson, NP
Nurse Practitioner in Charlotte, North Carolina
NPI 1518520238

Mallory Brooke Johnson is a Nurse Practitioner based in Charlotte, NC. Mallory Brooke Johnson practices in Charlotte, NC and has the professional credentials of NP. The NPI Number for Mallory Brooke Johnson is 1518520238 and holds a License No. 5011691 (North Carolina).

The current practice location address for Mallory Brooke Johnson is 125 Queens Rd Ste 600, Charlotte, NC and can be reached out via phone at 980-302-6600 and via fax at 980-302-6605.

Location: 125 Queens Rd Ste 600, Charlotte, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518520238
Provider Name
Mallory Brooke Johnson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
125 Queens Rd Ste 600, Charlotte, NC, 28260-0447
Phone Number
980-302-6600
Fax Number
980-302-6605
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Queens Rd Ste 600
City
Charlotte
State
North Carolina
Zip
28204-3215
Phone Number
980-302-6600
Fax Number
980-302-6605
person
Provider Business Mailing Address Details
Address
125 Queens Rd Ste 600
City
Charlotte
State
North Carolina
Zip
28204-3215
Phone Number
980-302-6600
Fax Number
980-302-6605
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5011691 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5011691 (North Carolina)
Definition
Definition to come...
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