Individual provider · Type 1 NPI

Denetra Johnson

Family Nurse Practitioner · Stockbridge, GA

NPI number 1205207388 Active

Practice location

5095 Mount Zion Pkwy
Stockbridge, GA 30281-7825

Fax (401) 652-9787

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR865978 (MS)
Family Nurse Practitioner Primary 363LF0000XRN161105 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1205207388

Denetra Johnson's National Provider Identifier is 1205207388, issued on Oct 14, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stockbridge, GA. The record was last updated on Oct 10, 2025.