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Individual
MRS. TERESA A. JOHNSON
Active
Individual
MRS. TERESA A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12528
TN
363L00000X
Nurse Practitioner
APN12528
TN
363LA2200X
Adult Health Nurse Practitioner
APN12528
TN
363LF0000X
Family Nurse Practitioner
Primary
APN12528
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12528
STATE LICENSE
TN
01
—
3009077
KENTUCKY APRN LICENSE
KY
Enumeration date
03/08/2007
Last updated
03/07/2023
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