NPI age
19 years
Enumerated 2007-04-11
● Active
Type 1 · Individual
MS. Jacqueline Ruth Johnson, M.DIV.
Johnson is 1 of 5 registered nurse providers in Decatur and 1 of 60 in Georgia.
Primary specialty
Registered Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 60 active registered nurse providers in Georgia.
NPI age
19 years
↑ 6 yr above median (12 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
6% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
4425 Memorial Dr
Decatur, GA 300321337
Mailing address
764 Wynbrooke Pkwy
Stone Mountain, GA 300876322
Specialties
-
Registered Nurse PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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