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Individual
MELISSA JOHNSON
Active
Individual
MELISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
25053
TN
2086S0120X
Pediatric Surgery Physician
25053
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
25053
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185900
REGISTERED NURSE
TN
01
—
25053
ADVANCED PRACTICE REGISTERED NURSE
TN
Enumeration date
01/05/2019
Last updated
11/04/2024
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