Individual
MR. TOMMY BRENT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-8563
(615) 873-6374
Mailing address
358 CLARKSTON DR, SMYRNA, TN 37167-4151
(615) 355-7010
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN82395, APN 6388
TN
Other
Enumeration date
03/22/2007
Last updated
03/11/2011
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