Provider Demographics
NPI:1679205744
Name:JOHNSON, CHRISTOPHER SCOT (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SCOT
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 BRIARWOOD DR STE A
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-5497
Mailing Address - Country:US
Mailing Address - Phone:828-732-5250
Mailing Address - Fax:828-732-5251
Practice Address - Street 1:1940 BRIARWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-5497
Practice Address - Country:US
Practice Address - Phone:828-732-5250
Practice Address - Fax:828-732-5251
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5016443363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner