Individual
MRS. TEWANNA RONIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1208 NEW LODGE CT, ANTIOCH, SD 37013-3618
(615) 837-0675
(615) 837-0675
Mailing address
1208 NEWLODGE CT, ANTIOCH, TN 37013-5718
(615) 837-0675
(615) 837-0675
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0000096892
TN
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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