Individual
BAYLEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
207 ELK AVE S, FAYETTEVILLE, TN 37334-3051
(931) 433-2551
(931) 429-0069
Mailing address
207 ELK AVE S, FAYETTEVILLE, TN 37334-3051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
01230104
TN
363LF0000X
Family Nurse Practitioner
Primary
33333
TN
Other
Enumeration date
02/02/2023
Last updated
04/11/2023
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