Individual
DAVIN P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2500 PERES AVE, MEMPHIS, TN 38108-1660
(901) 515-5500
(901) 458-2491
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-7302
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0000017584
TN
Other
Enumeration date
12/21/2013
Last updated
10/06/2015
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