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General NPI Number Information
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NPI Number | 1104361906
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Entity Type | Individual
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Provider Name | NATHAN J JOHNSON FNP-C
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Gender | Male
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 4515 HARDING PIKE STE 327
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City | NASHVILLE
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State | TN
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Zip | 37205-2118
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Country | US
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Telephone | 615-416-8010
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Fax | 615-915-3436
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Provider Business Mailing Address
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Address Line | 2725 STANDING OAK DR
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City | THOMPSONS STATION
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State | TN
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Zip | 37179-9756
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Country | US
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Telephone | 615-210-8739
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000021805
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License Number State | TN
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