Individual provider · Type 1 NPI

Mary Alice Johnson, NP-C

Family Nurse Practitioner · Albany, GA

NPI number 1275619108 Active

Practice location

425 W 3rd Ave, Lower Level
Albany, GA 31701-1941

Fax (229) 312-7055

Mailing address

500 W 3rd Ave, Ste 101
Albany, GA 31701-1985

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XRN120782 (GA)
Family Nurse Practitioner Primary 363LF0000XRN120782 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1275619108

Mary Alice Johnson, NP-C's National Provider Identifier is 1275619108, issued on Oct 31, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albany, GA. The record was last updated on Nov 15, 2011.