Individual
JAMES DEREK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1924 ALCOA HWY, BOX U109, KNOXVILLE, TN 37920-1511
(865) 544-9220
Mailing address
319 ERIN DR, STE B, KNOXVILLE, TN 37919-6202
(865) 588-0880
(865) 584-3111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
138393
TN
163W00000X
Registered Nurse
661322
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
3355
CA
367500000X
Certified Registered Nurse Anesthetist
73432
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100048703
PHP TENNCARE
TN
05
—
3635096
—
TN
01
—
4103867
BLUE CROSS
TN
Enumeration date
09/27/2006
Last updated
09/11/2025
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