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NPI Code Detail

MEDICARE: MS. LINDA COURSEY JOHNSON FNP

MEDICARE: MS. LINDA COURSEY JOHNSON FNP
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 PractitionerAPN0000011429TN
2363LF0000XFamily Nurse Practitioner2004032500MO

General Provider Information

NPI Number : 1528026655
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA COURSEY JOHNSON FNP
Provider Business Mailing Address
First Line : 601 BENTON AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2303
Country : US
Telephone Number : 615-292-9770
Fax Number : 615-292-9706
Provider Business Practice Location Address
First Line : 601 BENTON AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2303
Country : US
Telephone Number : 615-292-9770
Fax Number : 615-292-9706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 09/11/2008

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