Individual
LINDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 LEGION AVE, LEWISBURG, TN 37091-2898
(931) 359-1551
(931) 359-0542
Mailing address
206 LEGION AVE, LEWISBURG, TN 37091-2898
(931) 359-1551
(931) 359-0542
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000054704
TN
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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