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Individual
MR. STEPHEN JOHNSON
Active
Individual
MR. STEPHEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18275
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6012911
BLUE CROSS-BLUE SHIELD
TN
01
—
P01328475
RR MEDICARE
TN
05
—
Q006644
—
TN
Enumeration date
12/06/2013
Last updated
02/01/2024
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