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Johnny Tice (FNP-C)

Johnny Tice (FNP-C) is a health care provider specializes in Nurse Practitioner.

profile-icon Basic Information

Practice Location 123 Professional Park Dr, Locust, NC 28097-7712, US
Practice Location Phone704-403-6760
Practice Location Fax704-403-6761
GenderMale
Specialty InNurse Practitioner
NPI ?1164825923
Entity TypeIndividual
Enumeration Date ? Oct 7, 2014
Last Update Date ? Jan 19, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Johnny Tice

SpecialtySpecializationLicenseLicense State
Nurse Practitioner 271591North Carolina
Nurse PractitionerFamily 5007244North Carolina

legacy-id-icon Legacy Provider IDs of Johnny Tice

Provider IdIssuer StateIssuer TypeIssuer
1164825923North CarolinaMedicaid