Individual
RICKY BRANDON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1570 BRAMPTON AVE, STATESBORO, GA 30458-0855
(912) 764-9196
(478) 237-9138
Mailing address
215 N COLEMAN ST, SWAINSBORO, GA 30401-3530
(478) 419-1630
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
APRN-NP239170
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP239170
GA
Other
Enumeration date
06/26/2021
Last updated
10/19/2025
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