Individual
STEFANIE ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 386-4900
Mailing address
1044 WINDTREE TRCE, MOUNT JULIET, TN 37122-1333
(615) 758-3903
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1622
TN
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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