Provider Demographics
NPI:1962701813
Name:JOHNS, GEORGINA ABRAHAM (CRNP)
Entity type:Individual
Prefix:MRS
First Name:GEORGINA
Middle Name:ABRAHAM
Last Name:JOHNS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4303 HARBOUR TOWN DR
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1078
Mailing Address - Country:US
Mailing Address - Phone:240-389-0227
Mailing Address - Fax:833-992-2121
Practice Address - Street 1:4303 HARBOUR TOWN DR
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1078
Practice Address - Country:US
Practice Address - Phone:240-389-0227
Practice Address - Fax:833-992-2121
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR124943363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily