Healthcare Provider Details

I. General information

NPI: 1477037786
Provider Name (Legal Business Name): MORGIN N JOHNSON PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 ALCOA HWY STE 145
KNOXVILLE TN
37920-1546
US

IV. Provider business mailing address

1930 ALCOA HWY STE 145
KNOXVILLE TN
37920-1546
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-9749
  • Fax:
Mailing address:
  • Phone: 865-305-9749
  • Fax: 865-305-5857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number24974
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: