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Individual

MELISSA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-AC

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0914
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
25053
TN
2086S0120X
Pediatric Surgery Physician
25053
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
25053
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
185900
REGISTERED NURSE
TN
01
25053
ADVANCED PRACTICE REGISTERED NURSE
TN
Enumeration date
01/05/2019
Last updated
11/04/2024
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