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MS. JACQUELINE RUTH JOHNSON M.DIV.
NPI 1750504353
Registered Nurse - Addiction (Substance Use Disorder) in Decatur, GA

Active since April 11, 2007
4425 MEMORIAL DR, DECATUR, GA 30032(404) 298-8383 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jacqueline Ruth Johnson M.div. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELINE RUTH JOHNSON M.DIV. (NPI 1750504353) is an individual addiction (substance use disorder) provider in Decatur, Georgia, licensed in Georgia (146319) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1750504353
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameMS. JACQUELINE RUTH JOHNSONCredential: M.DIV.
Location Address4425 MEMORIAL DRDecatur, GA 30032-1337
Mailing Address764 Wynbrooke PkwyStone Mountain, GA 30087-6322 · (770) 469-1225
Phone(404) 298-8383
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1750504353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in GA · 146319
4425 MEMORIAL DR, Decatur, GA 30032
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZANA BARROW PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4425 MEMORIAL DR
DECATUR, GA 30032
Dekalb County (404) 298-8145
STEFANI LYVETTE DENT
Nurse Practitioner (Psychiatric/Mental Health)
4425 MEMORIAL DR
DECATUR, GA 30032
Dekalb County (404) 298-8330
CHUKWUKANENE OFIAELI MD
General Practice
4425 MEMORIAL DR
DECATUR, GA 30032
Dekalb County (786) 494-3744

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Johnson's NPI number?

The NPI number for Jacqueline Johnson is 1750504353. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Jacqueline Johnson located?

Jacqueline Johnson practices at 4425 Memorial Dr, Decatur, GA 30032. The listed phone number is (404) 298-8383.

What is Jacqueline Johnson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Jacqueline Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.