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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | RN111272 (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.