Johnson, Kirsten Nations

Johnson, Kirsten Nations is an individual health care provider with primary practice located at 20 Collins Dr Ste B , Cartersville GA 30120-8533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Johnson, Kirsten Nations can be contacted via phone (770) 607-0795.

Contact Information

Primary practice address
20 Collins Dr Ste B Cartersville GA 30120-8533
Phone: (770) 607-0795
Fax: (770) 607-1339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 172752 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN139381 Georgia

Profile Details

NPI number 1972564102
LBN Legal business name Johnson, Kirsten Nations
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 9th, 2021 - about 5 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 1972564102 NPPES
Georgia Other 336125 WELLCARE ID NUMBER
Georgia Other 000861627C WELLCARE ID NUMBER
Georgia Other 5261615 WELLCARE ID NUMBER
Georgia Other 598970 WELLCARE ID NUMBER
Georgia MEDICAID 000861627C WELLCARE ID NUMBER
Georgia Other 049906810 WELLCARE ID NUMBER
Georgia Other 10057735 WELLCARE ID NUMBER

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