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General NPI Number Information
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NPI Number | 1710505086
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Entity Type | Individual
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Provider Name | JOEY JOHNSON FNP-C
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Gender | Male
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 10/11/2021
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Provider Practice Location Address
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Address Line | 210 25TH AVE N STE 1204
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City | NASHVILLE
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State | TN
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Zip | 37203-1620
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Country | US
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Telephone | 615-312-0600
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Fax | 615-320-3259
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Provider Business Mailing Address
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Address Line | 209 SPRUCE ST
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City | SPRING HILL
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State | TN
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Zip | 37174-2454
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Country | US
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Telephone | 615-417-0518
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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 | APN0000027456
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License Number State | TN
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