Individual
BRANDILYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6600 WHITTLESEY BLVD, COLUMBUS, GA 31909-7334
(706) 323-3491
(706) 660-9191
Mailing address
6600 WHITTLESEY BLVD, COLUMBUS, GA 31909-7334
(706) 323-3491
(706) 660-9191
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN162979NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136036C
—
GA
Enumeration date
08/12/2010
Last updated
12/06/2017
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