KATIE A JOHNSON

WEST TENNESSEE MEDICAL GROUP, INC

Dr KATIE A JOHNSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.

Contact

WEST TENNESSEE MEDICAL GROUP, INC

587 SKYLINE DR
JACKSON
TN
383013938

Tel: 7314248922

KATIE A JOHNSON Information

Npi 1194285189
Pac Id 8729311022
Professional Enrollment Id I20190530002669
Last Name JOHNSON
First Name KATIE
Middle Name A
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WEST TENNESSEE MEDICAL GROUP, INC
Group Practice Pac Id 3971781006
Number Of Group Practice Members 112
Line 1 Street Address 587 SKYLINE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JACKSON
State TN
Zip Code 383013938
Phone Number 7314248922
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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