Individual provider · Type 1 NPI
Derquis Johnson, FNP-C
Family Nurse Practitioner · Lilburn, GA
NPI number
1194447649
Active
Practice location
4120 Five Forks Trickum Rd SW Ste 104
Lilburn, GA 30047-8975
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 250545 (GA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1194447649
Derquis Johnson, FNP-C's National Provider Identifier is 1194447649, issued on Sep 12, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lilburn, GA. The record was last updated on Sep 13, 2025.