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Ms. Beverly K Johnson
Family Nurse Practitioner in Baxley, Georgia
NPI 1881605806

Beverly K Johnson is a Family Nurse Practitioner based in Baxley, GA and is specialized in Family. Beverly K Johnson practices in Baxley, GA. The NPI Number for Beverly K Johnson is 1881605806 and holds a License No. RN106778 (Georgia).

The current practice location address for Beverly K Johnson is 510 S Main St, Baxley, GA and can be reached out via phone at 912-367-0653 and via fax at 912-367-0656.

Location: 510 S Main St, Baxley, GA, 31515-2070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881605806
Provider Name
Beverly K Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
510 S Main St, Baxley, GA, 31515-2070
Phone Number
912-367-0653
Fax Number
912-367-0656
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000906881C 05 GA
institution
Provider Business Practice Location Address Details
Address
510 S Main St
City
Baxley
State
Georgia
Zip
31513-0153
Phone Number
912-367-0653
Fax Number
912-367-0656
person
Provider Business Mailing Address Details
Address
510 S Main St
City
Baxley
State
Georgia
Zip
31513-0153
Phone Number
912-367-0653
Fax Number
912-367-0656
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN106778 (Georgia)
Definition
Definition to come...
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