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

Kolu Leelee Johnson

Individual provider Primary Care Nurse Practitioner · NPI 1619714466

Kolu Leelee Johnson is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2020, 6 years ago. Practices with Eventus Wholehealth PLLC, a 299-clinician group. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2024
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Practice location Address checks out

6608 E W T Harris Blvd
Charlotte, NC 28215-5127
Phone: (704) 900-7761
Fax: (833) 948-3597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 2024001913 (NC)

Record details

NPI number1619714466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Eventus Wholehealth Pllc — 299 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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