Individual
LUCY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 BRASELTON HWY STE 10-278, DACULA, GA 30019-3262
(678) 887-9315
Mailing address
2700 BRASELTON HWY STE 10-278, DACULA, GA 30019-3262
(678) 887-9315
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023167287
GA
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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