Individual
DEVONNA ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
926 MAIN ST, NASHVILLE, TN 37206-3614
(844) 660-1069
(615) 235-9725
Mailing address
PO BOX 781, PIE TOWN, NM 87827-0781
(204) 881-7565
(888) 614-3881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R45687
NM
363LF0000X
Family Nurse Practitioner
Primary
R45687
NM
363LP2300X
Primary Care Nurse Practitioner
R45687
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221096
—
AZ
Enumeration date
11/14/2006
Last updated
11/16/2023
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