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NPI Code Detail

MEDICARE: DR. CONNER EVERETT JOHNSON MD

MEDICARE: DR. CONNER EVERETT JOHNSON MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1902427834
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONNER EVERETT JOHNSON MD
Provider Business Mailing Address
First Line : 2401 PARMAN PL
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1518
Country : US
Telephone Number : 615-342-3965
Fax Number :
Provider Business Practice Location Address
First Line : 2401 PARMAN PL
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1518
Country : US
Telephone Number : 615-342-3965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2020
Last Update Date : 03/17/2026

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