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NPI 1710199013

IndividualActive

Bryan Johnson, LPN

NPI 1710199013 · Licensed Practical Nurse · Raleigh, NC

Provider details

NPI number: 1710199013
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Male
Sole proprietor: No
License: PR37655 (SC)

Practice location

200 S Pettigrew St

Raleigh, NC 27610-2651

Phone: (919) 341-8935

More NC providers

Mailing address

200 S Pettigrew St

Raleigh, NC 27610-2651

Registry dates

Enumerated: 2007-05-07
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.

Bryan Johnson, LPN — NPI 1710199013, Raleigh, NC | NPI Central