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Individual

REBECCA N JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNMW

Contact information

Practice address
143 KENNEDY DR, MARTIN, TN 38237
(731) 587-5321
(731) 588-5999
Mailing address
143 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-5321
(731) 588-5999

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN0000106208
TN

Other

Enumeration date
09/02/2010
Last updated
09/26/2019
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