Individual
KRISTI RENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-7070
Mailing address
10 COBBLE RIDGE CV, JACKSON, TN 38305-8587
(731) 697-5843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
133636
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
13400
TN
Other
Enumeration date
12/24/2007
Last updated
07/23/2013
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