Tashana Denise Johnson, CRNP | |
380 Knollwood St Ste 505, Winston Salem, NC 27103-1884 | |
(833) 357-2966 | |
Not Available |
Full Name | Tashana Denise Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 380 Knollwood St Ste 505, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336577139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R191917 (Maryland) | Secondary |
363LF0000X | Nurse Practitioner - Family | R191917 (Maryland) | Primary |
Entity Name | Mnr Industries Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457478703 PECOS PAC ID: 7416908843 Enrollment ID: O20050204000088 |
Mailing Address | Practice Location Address |
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Tashana Denise Johnson, CRNP Po Box 411432, Charlotte, NC 28241-1432 Ph: () - | Tashana Denise Johnson, CRNP 380 Knollwood St Ste 505, Winston Salem, NC 27103-1884 Ph: (833) 357-2966 |
Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814 | |
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103 Phone: 336-718-6199 Fax: 336-718-6190 | |
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814 | |
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916 | |
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000 | |
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878 | |
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622 |