IndividualActive
Ada Johnson
NPI 1013239151 · Exclusive Provider Organization · Yadkinville, NC
Provider details
- NPI number
- 1013239151
- Entity type
- Individual
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2883 (NC)
Mailing address
8045 Peak Rd
Clemmons, NC 27012-9789
Registry dates
- Enumerated
- 2010-02-16
- Last updated
- 2010-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.