Individual
SYLVIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-C
Contact information
Practice address
8901 STONEBRIDGE BLVD FL 2, DOUGLASVILLE, GA 30134-2244
(470) 267-1760
Mailing address
5263 CLINGMAN CT, DOUGLASVILLE, GA 30135-9266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN288902
GA
363LA2200X
Adult Health Nurse Practitioner
RN288902
GA
363LG0600X
Gerontology Nurse Practitioner
RN288902
GA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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