Individual
MS. STACY L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 W MAIN ST # 177, HENDERSONVILLE, TN 37075-3318
(615) 973-0034
(877) 854-9228
Mailing address
149 S PALMERS CHAPEL RD, WHITE HOUSE, TN 37188-5402
(615) 973-0034
(877) 854-9228
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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