Johnson, Susannah

Johnson, Susannah is an individual health care provider with primary practice located at 1601 Georgian Park Ste Terrace , Peachtree City GA 30269-6968. 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. Johnson, Susannah can be contacted via phone (770) 683-4495.

Contact Information

Primary practice address
1601 Georgian Park Ste Terrace Peachtree City GA 30269-6968
Phone: (770) 683-4495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9380811 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN242801 Georgia

Profile Details

NPI number 1942740360
LBN Legal business name Johnson, Susannah
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2017
Last updated Sep 9th, 2021 - 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 1942740360 NPPES
Florida Other ARNP9380811 LICENSE NUMBER

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