Individual
CLARA AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1045 HORSEHEAD LN, PIKEVILLE, TN 37367-7432
(423) 881-6358
Mailing address
5212 BLAYLOCK RD, CROSSVILLE, TN 38572-3271
(931) 267-5952
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
31595
TN
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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