Individual
ALICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
701 COUNTY SERVICES DRIVE, COOKEVILLE, TN 38501
(931) 528-2531
(931) 528-5088
Mailing address
821 OAK HEIGHTS LANE, LIVINGSTON, TN 38570
(931) 239-5798
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000082860
TN
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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