Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. RAEANNE TATEM JOHNSON, RN,MSN,CPNP-PC
ActiveMRS. RAEANNE TATEM JOHNSON, RN,MSN,CPNP-PC is a Developmental-Behavioral Pediatrics healthcare provider located in KNIGHTDALE, North Carolina. NPI 1245639830 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · KNIGHTDALE, NC
Registration Details
- NPI Number
- 1245639830
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2014 (12.002619100045 yrs)
- Last Updated
- Jul 11, 2022
- Licenses
-
5007103 (NC)20227375 (NC)
Practice Information
- Address
-
1005 BIG OAK CTKNIGHTDALE, NC, 275456565Browse NC providers · Browse ZIP 27545
- Phone
- 9192665669
- Fax
- 9194881717
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
- Additional Specialty
- Developmental-Behavioral Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.