Individual
DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
101 WILLIE LEE PKWY, WARNER ROBINS, GA 31088-9244
(478) 477-0966
Mailing address
209 N CAMELLIA BLVD, FORT VALLEY, GA 31030-3368
(478) 822-0054
(478) 822-0059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
249228
GA
363LF0000X
Family Nurse Practitioner
APRN11040015
FL
363LF0000X
Family Nurse Practitioner
Primary
RN249228
GA
Other
Enumeration date
07/22/2019
Last updated
12/16/2025
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