Individual
TOCCARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
(478) 274-5625
Mailing address
7324 QUAIL RUN RD, LIZELLA, GA 31052-3758
(478) 321-4698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236011
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
236011
GA
Other
Enumeration date
05/22/2014
Last updated
11/02/2021
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