# MELISSA JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174096838
- **Gender:** F
- **Credential:** CPNP-AC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP3000X | Pediatric Anesthesiology Physician | 25053 | TN | — |
| 2086S0120X | Pediatric Surgery Physician | 25053 | TN | — |
| 363LP0200X | Pediatric Nurse Practitioner | 25053 | TN | Yes |

## Other

- **Enumeration date:** 01/05/2019
- **Last updated:** 11/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 185900 | REGISTERED NURSE | TN |
| 01 | — | 25053 | ADVANCED PRACTICE REGISTERED NURSE | TN |