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Individual
MRS. KRISTEN J JOHNSON
Active
Individual
MRS. KRISTEN J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN077029
GA
363LF0000X
Family Nurse Practitioner
RN077029
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
663055018A
—
GA
05
—
663055018B
—
GA
01
—
P00687387
RAILROAD MEDICARE
GA
Enumeration date
07/10/2008
Last updated
08/07/2018
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