Individual
JENNIFER A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(561) 997-0821
(561) 997-0849
Mailing address
PO BOX 812364, BOCA RATON, FL 33481-2364
(561) 997-0821
(561) 997-0849
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
42435
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M4215
TX
207RP1001X
Pulmonary Disease Physician
Primary
42435
TN
208M00000X
Hospitalist Physician
M4215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184042301
—
TX
05
—
184042302
—
TX
05
—
3001422
—
TN
01
—
4181921
BCBS
TN
01
—
7100030980
KENTUCKY MEDICAID
KY
01
—
8U1128
BCBS
TX
01
—
9715313
AETNA
—
01
—
P00635226
RAILROAD MEDICARE
—
Enumeration date
09/29/2006
Last updated
02/01/2022
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