Individual
ANGELA JANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEB/VENI,HOMEHEALT
Contact information
Practice address
24 REVERE CIR APT 13, JACKSON, TN 38305-3468
(731) 513-0975
Mailing address
24 REVERE CIR APT 13, JACKSON, TN 38305-3468
(731) 513-0975
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
146D00000X
Personal Emergency Response Attendant
—
—
172A00000X
Driver
—
—
173000000X
Legal Medicine
—
—
174200000X
Meals Provider
—
—
202K00000X
Phlebology Physician
JMCGHISSUED
TN
225400000X
Rehabilitation Practitioner
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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