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NPI Code Detail

MEDICARE: MRS. KATHERINE WOOD JOHNSON FNP-BC

MEDICARE:  MRS. KATHERINE WOOD JOHNSON  FNP-BC
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
1363LF0000XFamily Nurse Practitioner16235TN

General Provider Information

NPI Number : 1205101110
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE WOOD JOHNSON FNP-BC
Provider Business Mailing Address
First Line : 4805 COLUMBIA PIKE
Second Line :
City : THOMPSONS STATION
State : TN
Zip : 37179-5207
Country : US
Telephone Number : 615-791-0974
Fax Number : 615-791-9825
Provider Business Practice Location Address
First Line : 4805 COLUMBIA PIKE
Second Line :
City : THOMPSONS STATION
State : TN
Zip : 37179-5207
Country : US
Telephone Number : 615-791-0974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2012
Last Update Date : 04/30/2018

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Directions to “ MRS. KATHERINE WOOD JOHNSON FNP-BC” Practice Location

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