Individual
JOSHUA BRENT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2341 MCCALLIE AVE STE 402, CHATTANOOGA, TN 37404-3231
(423) 698-3309
Mailing address
255 ACORN OAKS CIR APT 341, CHATTANOOGA, TN 37405-2088
(812) 480-1427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
186662
TN
367500000X
Certified Registered Nurse Anesthetist
28181730A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN19125T
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q008971
—
TN
Enumeration date
07/28/2014
Last updated
01/13/2015
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