Individual
EVELIA JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
119 CHIMNEY RD, RINCON, GA 31326-5541
(912) 295-5560
(912) 295-5562
Mailing address
119 CHIMNEY RD, RINCON, GA 31326-5541
(912) 295-5560
(912) 259-5562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
265163
GA
Other
Enumeration date
03/05/2020
Last updated
01/06/2025
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