Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jacqueline Ruth Johnson, MDIV

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1750504353

MS. Jacqueline Ruth Johnson, MDIV is an Addiction (Substance Use Disorder) Registered Nurse in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

4425 Memorial Dr
Decatur, GA 30032-1337
Phone: (404) 298-8383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 146319 (GA)

Record details

NPI number1750504353
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDIV
Sole proprietorYes
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Decatur