Individual provider · Type 1 NPI
Ebonique Sislyn Johnson, FNP
Family Nurse Practitioner · Atlanta, GA
NPI number
1548074099
Active
Practice location
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN299964 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1548074099
Ebonique Sislyn Johnson, FNP's National Provider Identifier is 1548074099, issued on Feb 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Feb 5, 2025.