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Individual

MARY JANE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
2300 N WRIGHT RD, ALCOA, TN 37701-3141
(865) 977-3302
Mailing address
442 RUDD ROAD, TOWNSEND, TN 37882
(865) 448-6924

Taxonomy

Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
APN0000005147
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APN0000005147
TN BOARD OF NURSING
TN
Enumeration date
07/20/2006
Last updated
06/03/2019
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