Individual
ANDREA LAUREN SMITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
310 N STATE OF FRANKLIN RD STE 202, JOHNSON CITY, TN 37604-6063
(423) 929-7111
(423) 929-9448
Mailing address
162 MOUNTAIN VIEW CIR, HAMPTON, TN 37658-3062
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
23135
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
23135
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3703470
—
TN
Enumeration date
10/17/2017
Last updated
02/05/2024
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