Individual
DR. KALISHA BONDS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 712-6929
Mailing address
PO BOX 102398-68 ANNEX, ATLANTA, GA 30368-0398
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN243441
GA
Other
Enumeration date
11/15/2012
Last updated
06/08/2021
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