JACKIE ANN JOHNSON

MARYVILLE, TN
NPI1740516251
Former NameJACKIE ANN WILBERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  LPN69057)
Enumeration Date2009-10-19
Last Update Date2009-10-19
Business Address
-- JACKIE ANN JOHNSON
627 SMITHVIEW DR
MARYVILLE, TN 37803-6100
Phone number: 865-380-4390
Mailing Address
-- JACKIE ANN JOHNSON
DEPT 888182
KNOXVILLE, TN 37995-8182
Phone number: 800-355-3565