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NPI Code Detail

MEDICARE: LYNSEY A. JOHNSON

MEDICARE: LYNSEY A. JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner227656GA
2363LF0000XFamily Nurse PractitionerARNP9467842FL

General Provider Information

NPI Number : 1881839116
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNSEY A. JOHNSON
Provider Business Mailing Address
First Line : 528 SCOTT BLVD
Second Line :
City : DECATUR
State : GA
Zip : 30030-2353
Country : US
Telephone Number : 912-531-1019
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W PEACHTREE ST NW STE 2300
Second Line :
City : ATLANTA
State : GA
Zip : 30309-3453
Country : US
Telephone Number : 904-586-1964
Fax Number : 888-597-2357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2008
Last Update Date : 12/09/2025

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Directions to “ LYNSEY A. JOHNSON ” Practice Location

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