Individual
KIMBERLY SUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2828 HIGHWAY 31 S STE 104, DECATUR, AL 35603-1538
(256) 686-1371
(256) 686-1250
Mailing address
PO BOX 3017, DECATUR, AL 35602-3017
(256) 686-1371
(256) 686-1250
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1-129644
AL
Other
Enumeration date
08/07/2017
Last updated
05/11/2026
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