Provider Demographics
NPI:1871357855
Name:ALDRICH, JOHNNA M
Entity type:Individual
Prefix:
First Name:JOHNNA
Middle Name:M
Last Name:ALDRICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:667 THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:GA
Mailing Address - Zip Code:30547-3110
Mailing Address - Country:US
Mailing Address - Phone:706-677-2296
Mailing Address - Fax:706-677-4042
Practice Address - Street 1:SCHOOL OF NURSING
Practice Address - Street 2:CBX 063
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061
Practice Address - Country:US
Practice Address - Phone:478-445-1076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program