Individual
HOLLY CAROLINE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
470 NORTHSIDE CHEROKEE BLVD STE 475, CANTON, GA 30115-8029
(770) 721-9400
(770) 721-9401
Mailing address
470 NORTHSIDE CHEROKEE BLVD STE 475, CANTON, GA 30115-8029
(770) 721-9400
(770) 721-9401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN210001
GA
363LF0000X
Family Nurse Practitioner
RN210001
GA
Other
Enumeration date
01/29/2020
Last updated
09/17/2023
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