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Individual

AUDRA N JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6070 LAKESIDE COMMONS DR, MACON, GA 31210-5778
(478) 254-2644
(478) 254-4924
Mailing address
PO BOX 26790, MACON, GA 31221-6790
(478) 254-2644
(478) 254-4924

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0999926-NP
CO
363L00000X
Nurse Practitioner
Primary
APRN-NP339970
GA

Other

Enumeration date
01/16/2024
Last updated
02/20/2026
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