Individual
MRS. CHRISTY NICHOLS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 E HOLSTON AVE, JOHNSON CITY, TN 37601-2736
(423) 302-7015
Mailing address
1500 E HOLSTON AVE, JOHNSON CITY, TN 37601-2736
(423) 302-7015
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN0000167185
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN0000167185
TN BOARD OF NURSING
TN
Enumeration date
03/01/2012
Last updated
03/01/2012
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