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NPI Code Detail

MEDICARE: CRYSTAL JOHNSON PMHNP-BC

MEDICARE: CRYSTAL JOHNSON PMHNP-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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner20622TN
2363L00000XNurse Practitioner20622TN
3363LF0000XFamily Nurse Practitioner20622TN

General Provider Information

NPI Number : 1477925568
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL JOHNSON PMHNP-BC
Provider Business Mailing Address
First Line : 220 ATHENS WAY STE 104
Second Line :
City : NASHVILLE
State : TN
Zip : 37228-1351
Country : US
Telephone Number : 615-320-1155
Fax Number : 615-320-1177
Provider Business Practice Location Address
First Line : 341 COOL SPRINGS BLVD STE 140
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-7222
Country : US
Telephone Number : 615-320-1155
Fax Number : 615-320-1177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2015
Last Update Date : 01/29/2025

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Directions to “ CRYSTAL JOHNSON PMHNP-BC” Practice Location

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