Individual
JASMINE NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1015 TYRONE RD STE 420, TYRONE, GA 30290-2456
(470) 900-7361
Mailing address
1015 TYRONE RD STE 420, TYRONE, GA 30290-2456
(470) 900-7361
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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