Individual
MRS. DENITRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
204 WESTCHESTER TRL, KATHLEEN, GA 31047-2897
(912) 403-0286
Mailing address
204 WESTCHESTER TRL, KATHLEEN, GA 31047-2897
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN208697
GA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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