Individual
MRS. JENNIFER BEASLEY JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3805 CHEROKEE STREET, KENNESAW INTERNAL MEDICINE, KENNESAW, GA 30144
(770) 426-5666
(770) 426-6205
Mailing address
3805 CHEROKEE STREET, KENNESAW INTERNAL MEDICINE, KENNESAW, GA 30144
(770) 426-5666
(770) 426-6205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215247
GA
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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