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Individual
LESA R JOHNSON
Active
Individual
LESA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14788
TN
363LF0000X
Family Nurse Practitioner
Primary
RN302951
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN302951
GA RN LICENSE
GA
Enumeration date
02/10/2010
Last updated
01/03/2024
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