Provider Demographics
NPI:1609217108
Name:JOHNSON, ROBYN LEIGH (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:LEIGH
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3030 MCEVER RD
Mailing Address - Street 2:BUILDING 1, SUITE 130
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-5579
Mailing Address - Country:US
Mailing Address - Phone:678-450-0747
Mailing Address - Fax:678-450-0779
Practice Address - Street 1:3030 MCEVER RD
Practice Address - Street 2:BUILDING 1, SUITE 130
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30504-5579
Practice Address - Country:US
Practice Address - Phone:678-450-0747
Practice Address - Fax:678-450-0779
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN181646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN181646OtherAPRN NUMBER