Individual
BRANDON LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1818 CAREW ST STE 120, FORT WAYNE, IN 46805-4764
(260) 425-6200
(260) 425-6205
Mailing address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(260) 615-7118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71018116A
IN
363LF0000X
Family Nurse Practitioner
Primary
RN226151
GA
Other
Enumeration date
09/10/2014
Last updated
07/24/2026
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