Individual
KATIE ALYSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
587 SKYLINE DR, JACKSON, TN 38301-3938
(731) 424-8922
(731) 423-2922
Mailing address
1804 HIGHWAY 45 BYP STE 604, JACKSON, TN 38305-4403
(731) 660-7971
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25622
TN
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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