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General NPI Number Information
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NPI Number | 1881839116
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Entity Type | Individual
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Provider Name | LYNSEY A. JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 12/16/2008
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1201 W PEACHTREE ST NW STE 2300
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City | ATLANTA
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State | GA
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Zip | 30309-3453
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Country | US
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Telephone | 904-586-1964
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Fax | 888-597-2357
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Provider Business Mailing Address
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Address Line | 528 SCOTT BLVD
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City | DECATUR
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State | GA
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Zip | 30030-2353
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Country | US
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Telephone | 912-531-1019
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 227656
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9467842
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License Number State | FL
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