MIATTA LASSANAH JOHNSON PMHNP NPI 1184449878

NPI Information

  • NPI: 1184449878
  • Provider Name: MIATTA LASSANAH JOHNSON, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1557 BUFORD DRIVE
    P.O.BOX 492994
    LAWRENCEVILLE, GA
    ZIP 30043
  • Phone: (470) 305-3899

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NPI Details

Miatta Lassanah Johnson, PMHNP is a psychiatric/mental health nurse practitioner in Lawrenceville, GA. Miatta Lassanah Johnson, PMHNP NPI is 1184449878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1557 BUFORD DRIVE
P.O.BOX 492994
LAWRENCEVILLE, GA
ZIP 30043
Phone: (470) 305-3899

The enumeration date for this NPI number is 11/19/2024 and was last updated on 11/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthRN259964GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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