Individual
MS. JACQUELIN MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
21ST AVENUE SOUTH, MEDICAL CENTER EAST SUITE 3200, NASHVILLE, TN 37232-0001
(615) 322-7878
Mailing address
1215 TWIN SPRINGS DR, BRENTWOOD, TN 37027-6720
(615) 370-3536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
456
TN
Other
Enumeration date
04/13/2006
Last updated
07/17/2007
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