Individual
ASHLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
770 STUART RD NE, CLEVELAND, TN 37312-5080
(423) 479-2757
Mailing address
770 STUART RD NE, CLEVELAND, TN 37312-5080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26041
TN
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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