Individual provider · Type 1 NPI

Alicia Kay Johnson

Psychiatric/Mental Health Nurse Practitioner · Kennesaw, GA

NPI number 1639535503 Active

Practice location

1300 Ridenour Blvd NW Ste 106
Kennesaw, GA 30152-4528

Call (470) 315-0055 Map

Fax (470) 464-7070

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X211280 (ME)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X11723625-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X20210293NP-PP (OR)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAPRN02540 (RI)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X855120 (NV)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X101.0135557TELE (VT)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X67513 (ID)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X086000-23 (NH)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XRN216448 (GA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X216448 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1639535503

Alicia Kay Johnson's National Provider Identifier is 1639535503, issued on Jan 7, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kennesaw, GA. The record was last updated on Jul 15, 2025.