MEDICARE: MARISSA JOHNSON NBC-WHC

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
1	171400000X	Health & Wellness Coach	A3630981	TN

General Provider Information

NPI Number	:	1205602125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISSA JOHNSON NBC-WHC

Provider Business Mailing Address
First Line	:	888 CHERRY BLOSSOM LN
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37040-6239
Country	:	US
Telephone Number	:	256-770-2550
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 CHERRY BLOSSOM LN
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37040-6239
Country	:	US
Telephone Number	:	256-770-2550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2023
Last Update Date	:	06/28/2025

Similar Medicare Providers

1083240162 — JENNIFER BUNGE
Practice Location Address:

856 CHERRY BLOSSOM LN
CLARKSVILLE, TN
37040-6239

Practice Phone: 630-608-9938
Practice Fax:

1063675692 — DR. FAUSTA DITAH MD
Practice Location Address:

647 DUNLOP LN STE 210
CLARKSVILLE, TN
37040-5165

Practice Phone: 931-502-3810
Practice Fax: 931-502-3815

1164357380 — ELIZABETH CASTNER RBT
Practice Location Address:

1024 FUJI LN
CLARKSVILLE, TN
37040-8800

Practice Phone: 931-292-2601
Practice Fax:

1295661981 — SARAH ELIZABETH JOHNSON
Practice Location Address:

2443 OLD RUSSELLVILLE PIKE
CLARKSVILLE, TN
37040-5833

Practice Phone: 931-542-9010
Practice Fax:

1134941198 — NATASHA RAWLINS LCSW
Practice Location Address:

1017 S RIVERSIDE DR STE 228
CLARKSVILLE, TN
37040-4303

Practice Phone: 931-263-4704
Practice Fax: 931-538-3777

1417794298 — EAGLEYE PROFESSIONAL NEMT TRANSPORTATION LLC
Practice Location Address:

605 DEAN RD
CLARKSVILLE, TN
37040-8857

Practice Phone: 901-650-5705
Practice Fax:

Directions to “ MARISSA JOHNSON NBC-WHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.