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Individual
MRS. LAVERN BANKS JOHNSON
Active
Individual
MRS. LAVERN BANKS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20905
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03472033
—
MS
01
—
20905
TN LICENSE
TN
01
—
6129052
BLUE CROSS BLUE SHIELD
TN
01
—
N1725089
WELLCARE
TN
05
—
Q032334
—
TN
Enumeration date
04/10/2010
Last updated
08/08/2025
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