Individual
JOAN STEPHANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
415 AIRPORT RD, GRIFFIN, GA 30224-4834
(770) 227-8636
(508) 984-7220
Mailing address
415 AIRPORT RD, GRIFFIN, GA 30224-4834
(770) 227-8636
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN297937
GA
363LP2300X
Primary Care Nurse Practitioner
RN297937
GA
Other
Enumeration date
04/13/2016
Last updated
03/01/2022
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