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NPI Code Detail

MEDICARE: DR. MISTY NOWELL JOHNSON CCC-A, AUD

MEDICARE:  DR. MISTY NOWELL JOHNSON  CCC-A, AUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid FitterA1706TN
2231H00000XAudiologistA1706TN

General Provider Information

NPI Number : 1538365267
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MISTY NOWELL JOHNSON CCC-A, AUD
Provider Business Mailing Address
First Line : 1994 GALLATIN PIKE N STE 200
Second Line :
City : MADISON
State : TN
Zip : 37115-2024
Country : US
Telephone Number : 615-851-9005
Fax Number : 615-851-9007
Provider Business Practice Location Address
First Line : 1994 GALLATIN PIKE N STE 200
Second Line :
City : MADISON
State : TN
Zip : 37115-2024
Country : US
Telephone Number : 615-851-9005
Fax Number : 615-851-9007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 01/13/2026

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Directions to “ DR. MISTY NOWELL JOHNSON CCC-A, AUD” Practice Location

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