Provider Demographics
NPI:1447798558
Name:JOHNS, KIARA GILDERSLEEVE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:KIARA
Middle Name:GILDERSLEEVE
Last Name:JOHNS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KIARA
Other - Middle Name:DENISE
Other - Last Name:GILDERSLEEVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1230 3RD AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1311
Mailing Address - Country:US
Mailing Address - Phone:205-454-8420
Mailing Address - Fax:205-224-4431
Practice Address - Street 1:1230 3RD AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1311
Practice Address - Country:US
Practice Address - Phone:205-454-8420
Practice Address - Fax:205-224-4431
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAA-NP000887363LP0808X
TN23424363LP0808X
AL1-140289363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health