Individual
KRISTEN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 BAYFORD CT SW, MARIETTA, GA 30064-4198
(407) 467-1108
Mailing address
2130 BAYFORD CT SW, MARIETTA, GA 30064-4198
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN304801
GA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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