Individual
JEFFREY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
101 JACKSON WALK PLZ, JACKSON, TN 38301-3008
(731) 427-7048
(731) 660-8739
Mailing address
101 JACKSON WALK PLZ, JACKSON, TN 38301-3008
(731) 427-7048
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1076
TN
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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