Ellen Brigman Johnson
Chore Provider in Beaufort, NC. Individual provider (NPI-1).
NPI number1760670533
StatusActive
Last updated in NPPESOct 5, 2007
Details
- NPI
- 1760670533
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ellen Brigman Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2007
- Last updated
- Oct 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | FCL-016-007 | NC | Yes |
| 372500000X | Chore Provider | FCL-016-011 | NC |
Practice location
107 Graham LnBeaufort, NC 28516-9449
Phone 252-728-4422 · Fax 252-728-7909
Mailing address
107 Graham LnBeaufort, NC 28516-9449
Phone 252-728-4422 · Fax 252-728-7909
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