Individual
KATHERINE HALEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8040 WOLF RIVER BLVD STE 102, MEMPHIS, TN 38138-1773
(901) 227-7900
(901) 227-7920
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14711
TN
Other
Enumeration date
03/29/2010
Last updated
06/21/2021
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