Individual
MRS. ANGELA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
438 E VANN RD, SUITE 202, GREENEVILLE, TN 37743-7202
(423) 278-1712
(423) 278-1703
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RD100377
TN
363LF0000X
Family Nurse Practitioner
Primary
APN6998
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33485101
—
TN
01
—
4062794
BLUE CROSS PROVIDER
—
05
—
7004058
—
NC
01
—
TN0100
JOHN DEERE PROVIDER
—
Enumeration date
05/22/2006
Last updated
10/05/2022
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