Individual
JANEAL N JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1758 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4012
(404) 794-4857
Mailing address
5751 RIVERDALE RD APT 36H, ATLANTA, GA 30349-6389
(678) 392-7565
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN095509
GA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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