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1194285189
KATIE ALYSE JOHNSON
JACKSON, TN
NPI
1194285189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 25622)
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
KATIE ALYSE JOHNSON FNP
587 SKYLINE DR
JACKSON, TN 38301-3938
Phone number: 731-424-8922
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Mailing Address
KATIE ALYSE JOHNSON FNP
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-660-7971
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