Tijuana Marie Johnson, FNP
Nurse Practitioner, Family in Shelby, NC. Individual provider (NPI-1).
NPI number1619895083
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1619895083
- Entity type
- Individual (NPI-1)
- Name
- Tijuana Marie Johnson
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2026
- Certification date
- Aug 6, 2026
- Last updated
- Aug 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5024837 | NC | Yes |
Practice location
711 N Dekalb StShelby, NC 28150-3911
Phone 704-482-1482
Mailing address
711 N Dekalb StShelby, NC 28150-3911
Phone 704-482-1482
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