Individual provider · Type 1 NPI
Miatta Lassanah Johnson, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Lawrenceville, GA
NPI number
1184449878
Active
Practice location
1557 Buford Drive, P.o.box 492994
Lawrenceville, GA 30043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN259964 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1184449878
Miatta Lassanah Johnson, PMHNP's National Provider Identifier is 1184449878, issued on Nov 19, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 19, 2024.