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

Mrs. Marissa Johnson, FNP-C

Individual provider Nurse Practitioner · NPI 1508609587

Mrs. Marissa Johnson, FNP-C is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 2024, 2 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-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
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

510 Carolina Bay Dr Ste 110
Wilmington, NC 28403-2046
Phone: (910) 662-6000
Fax: (910) 550-3787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 112 Medical Village Dr Ste G, Wallace, NC 28466-1665 — (910) 552-1580

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 326265 (NC)

Record details

NPI number1508609587
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

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 Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wilmington