Provider Demographics
NPI:1447798558
Name:JOHNS, KIARA GILDERSLEEVE (CRNP)
Entity type:Individual
Prefix:MS
First Name:KIARA
Middle Name:GILDERSLEEVE
Last Name:JOHNS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KIARA
Other - Middle Name:DENISE
Other - Last Name:GILDERSLEEVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 612
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36461-0612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:251-200-4579
Practice Address - Street 1:PO BOX 612
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36461-0612
Practice Address - Country:US
Practice Address - Phone:251-575-1234
Practice Address - Fax:251-200-4579
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAA-NP000887363LP0808X
FLAPRN11004804363LP0808X
TN23424363LP0808X
AL1-140289363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health