Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chrystal Johnson

Individual provider Medical-Surgical Registered Nurse · NPI 1073359253

Chrystal Johnson is a Nurse Practitioner in High Point, North Carolina. Qualified in 2024, 2 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

601 N Elm St
High Point, NC 27262-4331
Phone: (336) 878-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 — (910) 742-9243

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5021391 (NC)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 262591 (NC)

Record details

NPI number1073359253
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2024
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address601 N Elm St, High Point, NC 27262-4331

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in High Point