Individual
ADAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2103 FOREST DR STE 5, GRAY, TN 37615-8423
(423) 794-3142
Mailing address
436 BORING CHAPEL RD, GRAY, TN 37615-2943
(423) 833-5549
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
164131
TN
363L00000X
Nurse Practitioner
33066
TN
363LF0000X
Family Nurse Practitioner
Primary
33066
TN
Other
Enumeration date
11/22/2022
Last updated
03/11/2025
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