Individual
NANCY MANDRELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1006 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5132
(865) 983-4582
(865) 983-4574
Mailing address
354 OLYMPIA DR, MARYVILLE, TN 37804-5701
(865) 983-4582
(865) 983-4574
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000068355
TN
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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