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General NPI Number Information
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NPI Number | 1942647771
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Entity Type | Individual
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Provider Name | KRISTIE MICHELLE JOHNSON DNP, RN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 101 13TH ST
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City | COLUMBUS
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State | GA
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Zip | 31901-2101
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Country | US
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Telephone | 706-494-4949
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Fax | 706-494-4940
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Provider Business Mailing Address
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Address Line | 130 LEE ROAD 537
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City | SALEM
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State | AL
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Zip | 36874-4782
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Country | US
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Telephone | 706-888-7865
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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 | 1-094247
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License Number State | AL
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