Individual
JENNA-LYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 HIGHWAY 70 E STE G, DICKSON, TN 37055-2080
(803) 744-4900
(803) 744-4935
Mailing address
1924 ALCOA HWY # U114, KNOXVILLE, TN 37920-1511
(865) 305-6324
(865) 305-6429
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
85677
SC
390200000X
Student in an Organized Health Care Education/Training Program
0116028086
VA
Other
Enumeration date
04/30/2015
Last updated
02/05/2026
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