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Individual
TIFFANY JOHNSON
Active
Individual
TIFFANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1172137
TX
363LF0000X
Family Nurse Practitioner
F01180323
GA
363LF0000X
Family Nurse Practitioner
Primary
RN216672
GA
Other
Enumeration date
01/16/2018
Last updated
10/02/2024
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