Ifeoluwa Johnson
Registered Nurse in Augusta, GA. Individual provider (NPI-1).
NPI number1023901899
StatusActive
Last updated in NPPESJul 22, 2025
Details
- NPI
- 1023901899
- Entity type
- Individual (NPI-1)
- Name
- Ifeoluwa Johnson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2025
- Certification date
- Jul 22, 2025
- Last updated
- Jul 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN293073 | GA | Yes |
Practice location
1120 15th StAugusta, GA 30912-0004
Phone 478-777-7497
Mailing address
1120 15th StAugusta, GA 30912-0004
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