Individual
CLARA JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1992 HIGHWAY 51 S, COVINGTON, TN 38019-3623
(731) 394-1145
Mailing address
PO BOX 269084, DEPT 1102, OKLAHOMA CITY, OK 73126
(731) 394-1145
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
37601
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
37601
TN
363LP2300X
Primary Care Nurse Practitioner
37601
TN
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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