MS. JACQUELINE RUTH JOHNSON


Address: 4425 Memorial Dr, Decatur, GA 30032-1337
Phone: 4042988383

MS. JACQUELINE RUTH JOHNSON (NPI# 1750504353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750504353
Entity Type Individual
Full Name MS. JACQUELINE RUTH JOHNSON
Credential M.DIV.
Practice Address 4425 Memorial Dr
Decatur
GA 30032-1337
Mailing Address 764 Wynbrooke Pkwy
Stone Mountain
GA 30087-6322
Practice Telephone 4042988383
Mailing Telephone 7704691225
Enumeration Date 2007-04-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA0400X Registered Nurse
Specialization: Addiction (Substance Use Disorder)
146319 GA Nursing Service Providers

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Office Location

Street Address 4425 MEMORIAL DR
City DECATUR
State GA
Zip Code 30032-1337

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740750355 Andrea Caleb Nurse Practitioner 4425 Memorial Dr, Decatur, GA 30032-1337 2018-11-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861028078 Anchor Home Healthcare Services, Inc. Community/Behavioral Health 3717 Elkridge Drive, Decatur, GA 30032 2020-03-19
1578959201 Trusted Nurses Nursing Care 1959 Barberrie Ln, Decatur, GA 30032 2015-04-09
1225436751 God's Helper's Private Home Care, LLC In Home Supportive Care 1916 Willa Dr, Decatur, GA 30032 2014-12-16
1366878712 Teresa A Johnson Counselor 1585 Cobbs Creek Lane, Decatur, GA 30032 2013-09-17
1629213590 Curlen L Baird-scott Registered Nurse Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 2008-12-08
1659527919 Louis Aaron Calderon Psychiatry & Neurology 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 2008-08-18
1932387982 Turning Point Behavioral Health and Wellness Center Community/Behavioral Health 4292 Memorial Drive Suite C, Decatur, GA 30032 2008-02-01
1528190865 Jennifer Weeks Kaufman Speech-Language Pathologist 1441 Clifton Road Ne, Atlanta, GA 30032 2007-03-12
1093847147 Mary Sprague Speech-Language Pathologist 1441 Clifton Road North East, Atlanta, GA 30032 2007-03-12
1356479976 Julie Witten Speech-Language Pathologist 1441 Clifton Road, N.e., Atlanta, GA 30032 2007-03-02
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Taxonomy Information

Taxonomy Code 163WA0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366472672 Rosalie Kaye Shultz Registered Nurse 1670 Clairmont Rd, Decatur, GA 30033-4004 2006-07-03
1548296932 Mary Kathryn Sleboda Registered Nurse 1670 Clairmont Rd, Decatur, GA 30033-4004 2006-06-25
1154366789 Ruthie A Pumphrey Registered Nurse 1670 Clairmont Rd, Decatur, GA 30033-4004 2006-06-18
1528002300 Rosa Lee Head Registered Nurse 1670 Clairmont Rd, Decatur, GA 30033-4004 2006-06-15

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NPI Name Taxonomy Address Enumeration
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1689182685 Candace Annette Thompson Registered Nurse 4751 Best Rd Ste 150, Atlanta, GA 30337-5601 2018-01-12
1093251167 Emily Ann Brumfield Registered Nurse 2109 Fairburn Rd, Ste A, Douglasville, GA 30135-1037 2017-01-13
1275080541 Brenda Goodgame Registered Nurse 109 Austin Way, 109 Austin Way, Savannah, GA 31419-6207 2016-09-05
1437425899 Shasheeta Youlanda Hammond Registered Nurse 1300 Georgian Pl Apt 5, Dalton, GA 30720-4388 2012-03-29
1679804603 County Paradise Assisted Living Registered Nurse 546 Macon Road, Mcintyre, GA 31054 2010-01-14
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Competitor

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City DECATUR
Zip Code 30032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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