Individual
JEMIAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3180 PROFESSIONAL PLZ STE 101, GERMANTOWN, TN 38138-1534
(901) 328-2110
Mailing address
2010 BUBBA TAYLOR RD, BYHALIA, MS 38611-7029
(662) 607-8901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8877
TN
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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