Individual
SERVEEN ANTOINETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
1713 AUTUMN DR, CLARKSVILLE, TN 37042-1727
(931) 980-7601
(931) 572-5252
Mailing address
1713 AUTUMN DR, CLARKSVILLE, TN 37042-1727
(931) 980-7601
(931) 572-5252
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
484-278-1648
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-3803834
STATE OF TENNESSEE
TN
Enumeration date
11/23/2021
Last updated
11/23/2021
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