Individual
KIANA YVETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 ACADEMY AVE, DUBLIN, GA 31021-5201
(943) 888-1824
(833) 563-2343
Mailing address
1441 WOODMONT LN NW STE 160, ATLANTA, GA 30318-2866
(943) 888-1824
(833) 563-2343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9505350
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5022444
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
GAA-NP001722
GA
Other
Enumeration date
04/20/2022
Last updated
06/24/2025
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