MRS. ANGELETTA ANSLEY JOHNSON


Address: 2001 Mlk Jr. Blvd., Suite 418, Avenia Behavioral Management Inc, Atlanta, GA 30310
Phone: 6785577517

MRS. ANGELETTA ANSLEY JOHNSON (NPI# 1447687512) 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) 1447687512
Entity Type Individual
Full Name MRS. ANGELETTA ANSLEY JOHNSON
Other Name MS. ANGELETTA MACHELLE JOHNSON
Credential ARNP
Practice Address 2001 Mlk Jr. Blvd., Suite 418
Avenia Behavioral Management Inc
Atlanta
GA 30310
Practice Telephone 6785577517
Mailing Telephone 6785577517
Enumeration Date 2013-10-03
Last Update Date 2013-10-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN116219 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2001 MLK JR. BLVD., SUITE 418
AVENIA BEHAVIORAL MANAGEMENT INC
City ATLANTA
State GA
Zip Code 30310

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1821583584 Onyedikachi Kenneth Michaels Student in an Organized Health Care Education/Training Program Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 2018-06-26
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1679060552 Danielle Nicole Oliver Student in an Organized Health Care Education/Training Program Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 2018-04-17
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1386144848 Gabrielle Nicole Stevens Nurse Practitioner 980 Johnson Ferry Rd Ste 900, Atlanta, GA 30342-4768 2018-02-20
1316451909 Tamika Antoinette Thompson Nurse Practitioner 2569 Saint Paul Dr Sw, Atlanta, GA 30331-9221 2017-11-20
1396268819 Erin Bremer Nurse Practitioner 12 Executive Park Dr Ne Fl 4, Atlanta, GA 30329-2206 2017-07-18
1275063513 Dhruvangi Sharma Nurse Practitioner 8095 Roswell Rd, Atlanta, GA 30350-3931 2017-06-19
1093191249 Sheryl Lamb Nurse Practitioner 455 E Ontario Ave Sw, Atlanta, GA 30310-1505 2015-08-10
1831584549 Hope A Khan Nurse Practitioner 7101 Saint Clair Dr Ne, Atlanta, GA 30329-2679 2015-03-30
1669891941 Sherly Clairvil Nurse Practitioner 5825 Glenridge Dr Ste 120, Atlanta, GA 30328-5387 2014-04-15
1770906620 Countiss Williams Nurse Practitioner 3161 Howell Mill Rd Nw Ste 400, Atlanta, GA 30327-2117 2014-01-29
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Competitor

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City ATLANTA
Zip Code 30310

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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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