Individual provider · Type 1 NPI

Ethney Letetia Johnson, REGISTERED NURSE

General Practice Registered Nurse · Chamblee, GA

NPI number 1689652919 Active

Practice location

2385 Chamblee Tucker Rd
Chamblee, GA 30341-3446

Fax (678) 530-6130

Mailing address

793 Shadow Lakes Dr
Lithonia, GA 30058-6298

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000XRN111272 (GA)

General Practice Registered Nurse: Definition to come...

About NPI 1689652919

Ethney Letetia Johnson, REGISTERED NURSE's National Provider Identifier is 1689652919, issued on Jan 6, 2006. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Chamblee, GA. The record was last updated on Jul 13, 2026.