Individual provider · Type 1 NPI
Jennifer Beasley Johnston, NP-C
Family Nurse Practitioner · Kennesaw, GA
NPI number
1114268638
Active
Practice location
3805 Cherokee Street, Kennesaw Internal Medicine
Kennesaw, GA 30144
Fax (770) 426-6205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN215247 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114268638
Jennifer Beasley Johnston, NP-C's National Provider Identifier is 1114268638, issued on Mar 7, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kennesaw, GA. The record was last updated on Mar 7, 2013.