Individual
SUSANNAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
260 CORPORATE CENTER DR STE E, STOCKBRIDGE, GA 30281-7215
(678) 691-6500
(678) 691-6500
Mailing address
PO BOX 2900, STUART, FL 34995-2900
(772) 288-2400
(772) 419-0143
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9380811
FL
363L00000X
Nurse Practitioner
Primary
RN242801
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9380811
LICENSE NUMBER
FL
Enumeration date
03/04/2017
Last updated
09/25/2024
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