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

MS. Sandrivette Johnson, FNP-C

Individual provider Nurse Practitioner · NPI 1740201458

MS. Sandrivette Johnson, FNP-C is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2002, 24 years ago. Practices with Midtown Dermatology, PC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
24
Licensed in
NC
In the registry since
2006
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

5904 Six Forks Rd Ste 211
Raleigh, NC 27609-8228
Phone: (984) 242-0510
Fax: (984) 242-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4056 Capital Dr, Rocky Mount, NC 27804-3123 — (984) 242-0510

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 201614 (NC)

Record details

NPI number1740201458
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESJuly 21, 2022
Certification dateOctober 2, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Midtown Dermatology, Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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