Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELINE RUTH JOHNSON, M.DIV.
Active Sole ProprietorMS. JACQUELINE RUTH JOHNSON, M.DIV. is a Nurse Anesthetist, Certified healthcare provider located in DECATUR, Georgia. NPI 1750504353 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · DECATUR, GA
Registration Details
- NPI Number
- 1750504353
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2007 (19.300595077661 yrs)
- Last Updated
- Jul 8, 2007
- License
-
146319 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4425 MEMORIAL DRDECATUR, GA, 300321337Browse GA providers · Browse ZIP 30032
- Phone
- 4042988383
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
Other Nurse Anesthetist, Certified Providers in DECATUR, GA
| Name | Credential | NPI |
|---|---|---|
| ROSA LEE HEAD | 01/31/08 | 1528002300 |
| MS. RUTHIE A PUMPHREY | RN | 1154366789 |
| MS. MARY KATHRYN SLEBODA | RN | 1548296932 |
| MRS. ROSALIE KAYE SHULTZ | BSN | 1366472672 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.