Individual
JOHNA WIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
903 MEMORIAL BLVD, SPRINGFIELD, TN 37172-2932
(615) 384-8481
Mailing address
903 MEMORIAL BLVD, SPRINGFIELD, TN 37172-2932
(615) 384-9683
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3008014
KY
363LF0000X
Family Nurse Practitioner
Primary
APN0000017061
TN
Other
Enumeration date
08/08/2008
Last updated
02/26/2023
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