Individual
GLENDA RACHEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
27597 STATE HIGHWAY 58 N, TEN MILE, TN 37880-4024
(423) 618-2203
Mailing address
27597 STATE HIGHWAY 58 N, TEN MILE, TN 37880-4024
(423) 618-2203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
56399
TN
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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