Individual
RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(706) 389-6789
Mailing address
2245 EWELL PARK DR, LAWRENCEVILLE, GA 30043-1708
(404) 932-4148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN259072
GA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2025040897
GA
Other
Enumeration date
05/15/2024
Last updated
07/21/2025
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