MEDICARE: DEBORAH L JOHNSON

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	363LF0000X	Family Nurse Practitioner	27810	TN

General Provider Information

NPI Number	:	1861000135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH L JOHNSON

Provider Business Mailing Address
First Line	:	403 PRINCETON RD STE 10
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-2062
Country	:	US
Telephone Number	:	423-431-7340
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 PRINCETON RD STE 10
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-2062
Country	:	US
Telephone Number	:	423-431-7340
Fax Number	:

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

Provider Enumeration Date	:	07/22/2020
Last Update Date	:	08/22/2022

Similar Medicare Providers

1780655613 — PAUL J DERDEN MD
Practice Location Address:

403 PRINCETON RD STE 10
JOHNSON CITY, TN
37601-2062

Practice Phone: 423-431-7340
Practice Fax:

1477520732 — DR. CLAY ARLEN RENFRO MD
Practice Location Address:

219 PRINCETON ROAD
JOHNSON CITY, TN
37601-2062

Practice Phone: 423-975-2200
Practice Fax: 423-975-2210

1457428708 — DR. CHARLES ORVILLE PARKER III D.D.S.
Practice Location Address:

219 PRINCETON RD
JOHNSON CITY, TN
37601-2062

Practice Phone: 423-975-2200
Practice Fax:

1447397666 — STATE OF TENNESSEE
Practice Location Address:

219 PRINCETON RD
JOHNSON CITY, TN
37601-2062

Practice Phone: 423-979-4609
Practice Fax: 423-979-3271

1558486183 — MICHAEL GREGORY MCCLAIN MSPT
Practice Location Address:

219 PRINCETON RD , SUITE 150
JOHNSON CITY, TN
37601-2062

Practice Phone: 423-283-7068
Practice Fax:

1861013864 — BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION
Practice Location Address:

403 PRINCETON RD STE 10
JOHNSON CITY, TN
37601-2062

Practice Phone: 423-431-7340
Practice Fax: 423-431-7345

Directions to “ DEBORAH L JOHNSON ” 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.