Jan Delroy Johnson
Urologist Nurse Practitioner Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
1365 Clifton Rd Ne
Atlanta
, Georgia 30322-1013
Jan Delroy Johnson
Urologist Nurse Practitioner Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
1365 Clifton Rd Ne
Atlanta
, Georgia 30322-1013
(404) 452-1407
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About
Features
Specialties
- Urologist
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jan Delroy Johnson
- 4547 Sequoia Park Trl
- Snellville, GA
- Zip : 30039-2763
- Phone : (404) 452-1407
Second Address
- Jan Delroy Johnson
- 1365 Clifton Rd Ne
- Atlanta, GA
- Zip : 30322-1013
- Phone : (404) 778-4898
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208800000X | Urologist | RN258005 | GA |
| Y | 363L00000X | Nurse Practitioner | RN258005 | GA |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | RN258005 | GA |
| N | 363LP2300X | Nurse Practitioner - Primary Care | RN258005 | GA |
National Provider Identifier
| NPI | 1023518537 |
|---|---|
| Provider Name | Jan Delroy Johnson |
| First Address | Snellville, GA 30039-2763 |
| Second Address | Atlanta, GA 30322-1013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2018 |
| Last Update Date | 21/02/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.