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Individual

MRS. JULIANE CODY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
41 EAST OGLETHORPE STREET, ELLAVILLE, GA 31806
(229) 937-9003
(229) 937-9007
Mailing address
41 EAST OGLETHORPE STREET, ELLAVILLE, GA 31806
(229) 937-9003
(229) 937-9007

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
124320
GA
363LF0000X
Family Nurse Practitioner
Primary
RN124320
GA

Other

Enumeration date
05/16/2014
Last updated
07/07/2023
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