Tewanna Ronielle Johnson R.N.

NPI 1063660876 - Registered Nurse - 163WG0000X

NPI Details
NPI 1063660876
Gender Female
Enumeration Date 09/04/2008
Last Updated 09/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
ANTIOCH SD, 37013-3618, US
Phone (615) 837-0675
Fax (615) 837-0675
Business Location
ANTIOCH TN, 37013-5718, US
Phone (615) 837-0675
Fax (615) 837-0675
Taxonomy Code 163WG0000X
License State Tennessee
License Number 0000096892
Remove 1063660876 NPI Number

According to our database, Mrs. Tewanna Ronielle Johnson R.N. NPI is 1063660876, taxonomy code is 163WG0000X and license number is 0000096892, license state is located at Tennessee. Tewanna Ronielle Johnson R.N. physically located at 1208 New Lodge Ct, Antioch SD, 37013-3618. NPI Number Tewanna Ronielle Johnson R.N. has the Individual type.

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1063660876 NPI number is provided on an as is basis without warranty of any kind. 1063660876 is maintained by the National Plan & Provider Enumeration System. The contents of Tewanna Ronielle Johnson R.N. are for informational purposes only.