Jacqueline Johnson in Atlanta - Health Service
Jacqueline Johnson - NPI 1811160740
Jacqueline Johnson is a Health Service in Atlanta, Georgia. Jacqueline Johnson practices all healthcare services and medical treatments related to Health Service. The NPI Number for Jacqueline Johnson is 1811160740. The last update date is 2019-08-01.
Jacqueline Johnson's current location address is 2107 Gardenwood Ct, Atlanta, Georgia. You can contact this provider via phone number 4048578639 and fax number 4048631541. The mailing address for Jacqueline Johnson is 2107 Gardenwood Ct, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Johnson |
|---|---|
| Address | 2107 Gardenwood Ct, Atlanta, Georgia |
| Phone Number | 4048578639 |
| Fax Number | 4048631541 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1811160740 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2019-08-01 |
Provider Mailing Address Detail
| Address | 2107 Gardenwood Ct |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303493206 |
| Phone Number | 4048578639 |
| Fax Number | 4048631541 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 372320984B | GA | -- |
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What is the Jacqueline Johnson's unique identification number?
The Jacqueline Johnson has been assigned the NPI (National Provider Identifier) Number 1811160740 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jacqueline Johnson?
The Jacqueline Johnson is physically situated at 2107 Gardenwood Ct, in the city of Atlanta, state of GA, with the postal code 303493206.
What is the Jacqueline Johnson's specialty and taxonomy code?
The Jacqueline Johnson's specialty is Health Service, and the corresponding taxonomy code is 103Th0100X.
On what date did the Jacqueline Johnson receive its 1811160740 assignment from the Centers for Medicare & Medicaid Services?
The Jacqueline Johnson was assigned its 1811160740 by the Centers for Medicare & Medicaid Services on 2008-04-11.
When was the Jacqueline Johnson's information last updated?
The Jacqueline Johnson's information was last updated on 2019-08-01.
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