| Callie Johnson, AGPCNP-BC | |
|
3681 N Main St, Farmville, NC 27828-1464 | |
| (252) 753-7141 | |
| Not Available |
| Full Name | Callie Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3681 N Main St, Farmville, 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 |
|---|---|---|---|
| 1194534081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5021438 (North Carolina) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 5021438 (North Carolina) | Secondary |
| Entity Name | Physicians East Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598761967 PECOS PAC ID: 1850284571 Enrollment ID: O20040205001222 |
| Mailing Address | Practice Location Address |
|---|---|
| Callie Johnson, AGPCNP-BC 3681 N Main St, Farmville, NC 27828-1464 Ph: (252) 753-7141 | Callie Johnson, AGPCNP-BC 3681 N Main St, Farmville, NC 27828-1464 Ph: (252) 753-7141 |
Charlotte Whitehurst Goodwyn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3485 N. Main Street, Farmville, NC 27858 Phone: 252-753-3193 | |
Whitney Elvis, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3681 N Main St, Farmville, NC 27828 Phone: 252-753-7141 Fax: 252-753-5834 | |
Haley Dickerson Upchurch, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3485 N Main St, Farmville, NC 27828 Phone: 252-753-3193 | |
Jody Lynn Holtz, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3681 N Main St, Farmville, NC 27828 Phone: 252-753-7141 Fax: 252-753-5834 | |
Karen L Conklin, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3681 N Main St, Farmville, NC 27828 Phone: 252-753-7141 |