Individual
KIMBERLYN N JOHNSON-RUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
750 TOWNPARK LANE, KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER, KENNESAW, GA 30144
(770) 514-5401
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 504-5678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN183331
GA
Other
Enumeration date
04/06/2015
Last updated
02/20/2017
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