Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 N MAIN AVE, ERWIN, TN 37650-1508
(423) 560-6010
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
(931) 722-9919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27757
TN
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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