Individual
MARY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 BENTON AVE, NASHVILLE, TN 37204-2303
(615) 292-9770
(615) 292-9706
Mailing address
601 BENTON AVE, NASHVILLE, TN 37204-2303
(615) 292-9770
(615) 292-9706
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3282
TN
Other
Enumeration date
05/18/2007
Last updated
04/27/2021
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