Individual
MRS. TAMMIE JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
21680 AL HIGHWAY 79, SCOTTSBORO, AL 35768-5904
(256) 587-3050
(256) 587-3508
Mailing address
309 TAYLOR ST, SCOTTSBORO, AL 35768-2421
(256) 259-5313
(256) 259-4923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-140371
AL
363LF0000X
Family Nurse Practitioner
Primary
1-140371
AL
Other
Enumeration date
12/27/2019
Last updated
12/04/2020
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