Individual
JERWANDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1502 W 3RD ST STE A, JACKSON, GA 30233-1979
(678) 774-0430
(770) 775-3410
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0116
(770) 955-4278
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN220008
GA
363LF0000X
Family Nurse Practitioner
Primary
RN220008
GA
Other
Enumeration date
07/31/2017
Last updated
07/30/2025
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