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Individual

AMANDA L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-BC

Contact information

Practice address
108 BRENRAY DR, HARRIMAN, TN 37748-5148
(423) 817-5085
Mailing address
1930 ALCOA HWY STE 145, KNOXVILLE, TN 37920-1546
(653) 059-7498
(865) 305-5857

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23469
TN

Other

Enumeration date
01/17/2018
Last updated
10/30/2024
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