Angeletta Ansley Johnson ARNP

NPI 1447687512 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1447687512
Gender Female
Enumeration Date 10/03/2013
Last Updated 10/03/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2001 MLK JR. BLVD., SUITE 418
AVENIA BEHAVIORAL MANAGEMENT INC
ATLANTA GA, 30310, US
Phone (678) 557-7517
Fax
Business Location
2001 MLK JR. BLVD., SUITE 418
AVENIA BEHAVIORAL MANAGEMENT INC
ATLANTA GA, 30310, US
Phone (678) 557-7517
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Georgia
License Number RN116219
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According to our database, Mrs. Angeletta Ansley Johnson ARNP NPI is 1447687512, taxonomy code is 363LA2200X and license number is RN116219, license state is located at Georgia. Angeletta Ansley Johnson ARNP physically located at 2001 Mlk Jr. Blvd., Suite 418, Atlanta GA, 30310. NPI Number Angeletta Ansley Johnson ARNP has the Individual type.

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1447687512 NPI number is provided on an as is basis without warranty of any kind. 1447687512 is maintained by the National Plan & Provider Enumeration System. The contents of Angeletta Ansley Johnson ARNP are for informational purposes only.