person
Ms. Jacqueline Ruth Johnson, MDIV
Addiction (Substance Use Disorder) Registered Nurse in Decatur, Georgia
NPI 1750504353

Jacqueline Ruth Johnson is an Addiction (Substance Use Disorder) Registered Nurse based in Stone Mountain, GA and is specialized in Addiction (Substance Use Disorder). Jacqueline Ruth Johnson practices in Decatur, GA and has the professional credentials of MDIV. The NPI Number for Jacqueline Ruth Johnson is 1750504353 and holds a License No. 146319 (Georgia).

The current practice location address for Jacqueline Ruth Johnson is 4425 Memorial Dr, Decatur, GA and can be reached out via phone at 404-298-8383. You can also correspond with Jacqueline Ruth Johnson through the mailing address at 764 WYNBROOKE PKWY, STONE MOUNTAIN, GA - 30087-6322 (mailing address contact number: 770-469-1225).

Location: 4425 Memorial Dr, Decatur, GA, 30087-6322
person
Provider Profile Details
NPI Number
1750504353
Provider Name
Jacqueline Ruth Johnson
Credential
MDIV
Provider Entity Type
Individual
Gender
Female
Address
4425 Memorial Dr, Decatur, GA, 30087-6322
Phone Number
404-298-8383
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4425 Memorial Dr
City
State
Zip
30032-1337
Phone Number
404-298-8383
Fax Number
person
Provider Business Mailing Address Details
Address
764 Wynbrooke Pkwy
City
State
Zip
30087-6322
Phone Number
770-469-1225
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
146319 (Georgia)
Definition
Definition to come...
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