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Denetra Johnson
Family Nurse Practitioner in Atlanta, Georgia
NPI 1205207388

Denetra Johnson is a Family Nurse Practitioner based in Atlanta, GA and is specialized in Family. Denetra Johnson practices in Atlanta, GA. The NPI Number for Denetra Johnson is 1205207388 and holds a License No. R865978 (Georgia).

The current practice location address for Denetra Johnson is 3730 Carmia Dr Sw, Atlanta, GA and can be reached out via phone at 404-344-7286 and via fax at 404-344-1310.

Location: 3730 Carmia Dr Sw, Atlanta, GA, 30331-6258
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Provider Profile Details
NPI Number
1205207388
Provider Name
Denetra Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3730 Carmia Dr Sw, Atlanta, GA, 30331-6258
Phone Number
404-344-7286
Fax Number
404-344-1310
Provider Enumeration Date
10/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN161105 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
3730 Carmia Dr Sw
City
State
Zip
30331-6258
Phone Number
404-344-7286
Fax Number
404-344-1310
person
Provider Business Mailing Address Details
Address
3730 Carmia Dr Sw
City
State
Zip
30331-6258
Phone Number
404-344-7286
Fax Number
404-344-1310
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R865978 (Mississippi)
Definition
Definition to come...
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