IndividualActive
Susan Johnson, RN
NPI 1477654192 · Administrator Registered Nurse · Statesville, NC
Provider details
- NPI number
- 1477654192
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 086530 (NC)
Specialties & taxonomies
Nursing Service Providers
Practice location
318 Turnersburg Hwy
Statesville, NC 28625-2798
Phone: (704) 878-5300
Approximate (ZIP-level) locationGet directions
Mailing address
112 Knollcrest Ln
Statesville, NC 28625-2285
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.