Individual
SHAUNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
713 ANDREWS DR, THOMASTON, GA 30286-4524
(770) 358-5252
(770) 229-3223
Mailing address
1435 N EXPRESSWAY STE 301, GRIFFIN, GA 30223-9014
(770) 358-5252
(770) 229-3223
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN207495
GA
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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