Individual provider · Type 1 NPI
Jacqueline Ruth Johnson, M.DIV.
Addiction (Substance Use Disorder) Registered Nurse · Decatur, GA
NPI number
1750504353
Active
Practice location
4425 Memorial Dr
Decatur, GA 30032-1337
Mailing address
764 Wynbrooke Pkwy
Stone Mountain, GA 30087-6322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 146319 (GA) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) registered nurse providers in Decatur
- Ruthie A. Pumphrey, RNAddiction (Substance Use Disorder) Registered Nurse Decatur, GA NPI 1154366789
- Rosalie Kaye Shultz, BSNAddiction (Substance Use Disorder) Registered Nurse Decatur, GA NPI 1366472672
- Rosa Lee Head, 01/31/08Addiction (Substance Use Disorder) Registered Nurse Decatur, GA NPI 1528002300
- Mary Kathryn Sleboda, RNAddiction (Substance Use Disorder) Registered Nurse Decatur, GA NPI 1548296932
About NPI 1750504353
Jacqueline Ruth Johnson, M.DIV.'s National Provider Identifier is 1750504353, issued on Apr 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Decatur, GA. The record was last updated on Jul 8, 2007.