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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKIE ANN JOHNSON

Active

JACKIE ANN JOHNSON is a Licensed Practical Nurse healthcare provider located in MARYVILLE, Tennessee. NPI 1740516251 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · MARYVILLE, TN

Registration Details

NPI Number
1740516251
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2009 (16.822809425444 yrs)
Last Updated
Oct 19, 2009
License
LPN69057 (TN)

Practice Information

Address
627 SMITHVIEW DR
MARYVILLE, TN, 378036100
Browse TN providers · Browse ZIP 37803
Phone
8653804390
Fax
8653804396
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in MARYVILLE, TN

Name Credential NPI
NANCY MANDRELL JOHNSON LPN 1659418044
CHRISTY M MONROE LPN 1043342785
VANESSA L MELTON 1407975626
SHARON HICKS 1760687164
ANGELA R FORD 1922292895
LORA A CABLE 1023279924
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.