NPI 1043629363

Qiana a Johnson, DNPFNPC

Practitioner Nurse Practitioner Riverdale, GA

Practice location

Address: 1240 Highway 138 SW, Riverdale, GA 30296-1402
Phone: (470) 575-6588

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence RN185555 (GA)

Other Nurse Practitioner providers in Georgia →

Registry record

NPI: 1043629363
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2014
Record last updated: 20 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.