Individual
COLLEEN ELIZABETH STJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5421 MAIN ST, SPRING HILL, TN 37174-4410
(931) 486-2500
Mailing address
5421 MAIN ST, SPRING HILL, TN 37174-4410
(931) 486-2500
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
363A00000X
Physician Assistant
Primary
5601010723
MI
Other
Enumeration date
11/06/2021
Last updated
12/27/2022
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