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Shameka Logan Johnson
Nurse Practitioner in Wilson, North Carolina
NPI 1972215382

Shameka Logan Johnson is a Nurse Practitioner based in Wilson, NC. Shameka Logan Johnson practices in Wilson, NC. The NPI Number for Shameka Logan Johnson is 1972215382 and holds a License No. 0024185817 (North Carolina).

The current practice location address for Shameka Logan Johnson is 2305 Wellington Dr Sw, Wilson, NC and can be reached out via phone at 252-306-7474.

Location: 2305 Wellington Dr Sw, Wilson, NC, 27893-4400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972215382
Provider Name
Shameka Logan Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2305 Wellington Dr Sw, Wilson, NC, 27893-4400
Phone Number
252-306-7474
Fax Number
Provider Enumeration Date
12/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2305 Wellington Dr Sw
City
Wilson
State
North Carolina
Zip
27893-4400
Phone Number
252-306-7474
Fax Number
person
Provider Business Mailing Address Details
Address
2305 Wellington Dr Sw
City
Wilson
State
North Carolina
Zip
27893-4400
Phone Number
252-306-7474
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
163WP0807X
License No.
5017490 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2022009320 (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 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
0024185817 (Virginia)
Definition
Definition to come...
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