Johns, Traci

Johns, Traci is an individual health care provider with primary practice located at 1150 Golden Way , Watkinsville GA 30677-7712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johns, Traci can be contacted via phone (706) 612-9401.

Contact Information

Primary practice address
1150 Golden Way Watkinsville GA 30677-7712
Phone: (706) 612-9401
Fax: (706) 612-9420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN201265 Georgia

Profile Details

NPI number 1427315845
LBN Legal business name Johns, Traci
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Jun 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427315845 NPPES
Georgia MEDICAID 003123289E
Georgia MEDICAID 003123289A

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