Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDA JOHNICAN
Active Sole ProprietorIDA JOHNICAN is a Driver healthcare provider located in CORDOVA, Tennessee. NPI 1134732290 is currently active in the NPPES registry. Verify at CMS.
Driver · CORDOVA, TN
Registration Details
- NPI Number
- 1134732290
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2020 (5.7757989596648 yrs)
- Last Updated
- Aug 28, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
491 S SANGA RDCORDOVA, TN, 380187686Browse TN providers · Browse ZIP 38018
- Phone
- 9012304309
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in CORDOVA, TN
| Name | Credential | NPI |
|---|---|---|
| MR. TERRENCE DESHON FISHER | — | 1083977979 |
| MR. MARIO WOODEN SR. | — | 1306222674 |
| CHRISTOPHER PATTERSON | — | 1285100511 |
| MONICA WALTON | — | 1164987681 |
| CHEM HODGES | — | 1811665243 |
| MISS KATHERINE BRIDGES | — | 1821766882 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.