# DR. AMANDA NICOLE JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952679987
- **Gender:** F
- **Credential:** RPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 15113 | AL | — |
| 183500000X | Pharmacist | 25622 | TN | Yes |

## Other

- **Enumeration date:** 12/05/2011
- **Last updated:** 12/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4438099 | NABP | TN |