Kiana Yvette Johnson, | |
511 Academy Ave, Dublin, GA 31021-5201 | |
(943) 888-1824 | |
(833) 563-2343 |
Full Name | Kiana Yvette Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 511 Academy Ave, Dublin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811630544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9505350 (Florida) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | GAA-NP001722 (Georgia) | Primary |
Entity Name | Middle Flint Area Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366521932 PECOS PAC ID: 3274426150 Enrollment ID: O20040204000828 |
Entity Name | Lifesource Of North Carolina |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863 |
Mailing Address | Practice Location Address |
---|---|
Kiana Yvette Johnson, 1441 Woodmont Ln Nw Ste 160, Atlanta, GA 30318-2866 Ph: (943) 888-1824 | Kiana Yvette Johnson, 511 Academy Ave, Dublin, GA 31021-5201 Ph: (943) 888-1824 |
Mrs. Tabitha Hendrix Mullis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 Hospital Dr Ste A, Dublin, GA 31021 Phone: 478-272-3525 Fax: 478-272-3589 | |
Mrs. Tamara Kate Mccullars, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd Ste 23, Dublin, GA 31021 Phone: 478-272-8580 Fax: 478-275-0012 | |
Shannon Gay, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 Fairview Park Dr # 200, Dublin, GA 31021 Phone: 478-246-2264 | |
Mrs. Jacquelyn S Purser, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-275-6509 | |
Charisse Holmes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Bellevue Rd Ste 2, Dublin, GA 31021 Phone: 478-272-8580 | |
Demi Sharice Murray, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-290-5984 | |
Dayana Ferguson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Bowling Ln, Dublin, GA 31021 Phone: 478-272-0203 |