Individual
MARISA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 GREENWOOD AVE, CLARKSVILLE, TN 37040-4068
(888) 277-4137
Mailing address
401 VICTORY RD APT 1N, CLARKSVILLE, TN 37042-2948
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0001318711
VA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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