Individual provider · Type 1 NPI

Kevin Mark Johnson

Family Nurse Practitioner · East Point, GA

NPI number 1508515917 Active

Practice location

1170 Cleveland Ave
East Point, GA 30344-3615

Mailing address

106 Cherry Hill Ln
Stockbridge, GA 30281-7359

Specialties and licenses

TaxonomyCodeLicense
School Counselor 101YS0200XNone listed
Family Nurse Practitioner Primary 363LF0000XRN171627 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1508515917

Kevin Mark Johnson's National Provider Identifier is 1508515917, issued on Mar 22, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Point, GA. The record was last updated on Aug 8, 2025.