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

Tucker Lee Johnson, FNP

Individual provider Registered Nurse · NPI 1376115865

Tucker Lee Johnson, FNP is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 2020, 6 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone: (910) 662-9500
Fax: (910) 662-9501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5014723 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 261515 (NC)

Record details

NPI number1376115865
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 14, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

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

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