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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CARELLE JOHNSON

Active Sole Proprietor

MRS. CARELLE JOHNSON is a Custodial Care Facility healthcare provider located in JESUP, Georgia. NPI 1831997121 is currently active in the NPPES registry. Verify at CMS.

Custodial Care Facility · JESUP, GA

Registration Details

NPI Number
1831997121
Provider Type
Individual
Gender
Female
NPI Issued
Mar 4, 2025 (1.4551565082769 yrs)
Last Updated
Mar 4, 2025
License
CN0036020198 (GA)
Sole Proprietor
Yes

Practice Information

Address
158 KIOWA DR S
JESUP, GA, 31545
Browse GA providers · Browse ZIP 31545
Phone
9124243204
Primary Specialty
Custodial Care Facility
311Z00000X
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.