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General NPI Number Information
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NPI Number | 1902775935
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Entity Type | Individual
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Provider Name | JAMIE LYNN JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 400 CENTERVIEW DR STE 4000
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City | BRENTWOOD
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State | TN
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Zip | 37027-8039
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Country | US
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Telephone | 629-899-7760
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Fax |
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Provider Business Mailing Address
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Address Line | 304 PARMLEY LN
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City | NASHVILLE
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State | TN
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Zip | 37207-0049
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Country | US
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Telephone | 478-456-8916
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 209912
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License Number State | TN
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