| NPI | 1174787998 |
|---|---|
| Former Name | LAURA KRISTEN JONES JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN077029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN077029) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-08-07 |