Individual
MRS. JENICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
9018 OOLTEWAH GEORGETOWN RD STE 122, OOLTEWAH, TN 37363-1515
(706) 503-3850
Mailing address
9018 OOLTEWAH GEORGETOWN RD STE 122, OOLTEWAH, TN 37363-1515
(423) 320-2565
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2416
AL
133V00000X
Registered Dietitian
2462
SC
133V00000X
Registered Dietitian
Primary
2547
TN
133V00000X
Registered Dietitian
LD004162
GA
Other
Enumeration date
02/18/2019
Last updated
06/12/2025
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