Individual
MRS. AMY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 25TH AVE N, STE 204, NASHVILLE, TN 37203-1515
(615) 620-5151
(615) 620-5155
Mailing address
515 STONECREST PKWY, STE 210, SMYRNA, TN 37167-6826
(615) 625-7112
(615) 625-7028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1922
TN
363A00000X
Physician Assistant
PA985
KY
363A00000X
Physician Assistant
TC038
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522269
—
TN
Enumeration date
09/22/2006
Last updated
01/21/2013
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