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MR. JOHNNY KYLE HARDEMAN RN NPI 1255043071


NPI Information

NPI: 1255043071
Provider Name: MR. JOHNNY KYLE HARDEMAN, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2819 RUSTICWOOD DR
SNELLVILLE, GA
ZIP 30078
Phone: (912) 541-4983
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MR. Johnny Kyle Hardeman, RN is a psychiatric/mental health registered nurse in Snellville, GA. MR. Johnny Kyle Hardeman, RN NPI is 1255043071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2819 RUSTICWOOD DR
SNELLVILLE, GA
ZIP 30078-849
Phone: (912) 541-4983

The enumeration date for this NPI number is 12/23/2022 and was last updated on 12/23/2022.


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
1163WP0808XRegistered NursePsychiatric/Mental Health249198GEORGIAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.