Individual
MS. KAITLYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2517 BEMISS RD STE F, VALDOSTA, GA 31602-1900
(229) 232-4020
(240) 669-2343
Mailing address
2517 BEMISS RD STE F, VALDOSTA, GA 31602-1900
(229) 232-4020
(240) 669-2343
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
266225
GA
363LA2200X
Adult Health Nurse Practitioner
266225
GA
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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