Individual
ELIZABETH J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
255 E. WATT STREET, ALCOA, TN 37701
(865) 273-1616
(865) 273-1645
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000006237
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341847
—
TN
Enumeration date
03/27/2006
Last updated
11/23/2010
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