Kacie Parrish Johnson
Nurse Practitioner
3200 N Ashley St Ste C
Valdosta
, Georgia 31602-5911
Kacie Parrish Johnson
Nurse Practitioner
3200 N Ashley St Ste C
Valdosta
, Georgia 31602-5911
(229) 671-9101
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Kacie Parrish Johnson
- 3200 N Ashley St Ste C
- Valdosta, GA
- Zip : 31602-5911
- Fax : (229) 671-9101
- Phone : (229) 671-9100
Second Address
- Kacie Parrish Johnson
- 3200 N Ashley St Ste C
- Valdosta, GA
- Zip : 31602-5911
- Fax : (229) 671-9101
- Phone : (229) 671-9100
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Is Kacie Parrish Johnson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN197323 | GA |
National Provider Identifier
| NPI | 1003287533 |
|---|---|
| Provider Name | Kacie Parrish Johnson |
| First Address | Valdosta, GA 31602-5911 |
| Second Address | Valdosta, GA 31602-5911 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2015 |
| Last Update Date | 08/04/2021 |
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.