Individual
MRS. NICOLE TAMARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3580 CAMERON PKWY, STOCKBRIDGE, GA 30281-7816
(770) 996-6446
(770) 996-6279
Mailing address
3580 CAMERON PKWY, STOCKBRIDGE, GA 30281-7816
(770) 996-6446
(770) 996-6279
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN179949
GA
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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