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General NPI Number Information
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NPI Number | 1811630544
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Entity Type | Individual
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Provider Name | KIANA YVETTE JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 511 ACADEMY AVE
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City | DUBLIN
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State | GA
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Zip | 31021-5201
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Country | US
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Telephone | 943-888-1824
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Fax | 833-563-2343
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Provider Business Mailing Address
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Address Line | 1441 WOODMONT LN NW STE 160
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City | ATLANTA
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State | GA
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Zip | 30318-2866
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Country | US
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Telephone | 943-888-1824
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Fax | 833-563-2343
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | GAA-NP001722
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5022444
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9505350
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License Number State | FL
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