Individual provider · Type 1 NPI
Tewanna Ronielle Johnson, R.N.
General Practice Registered Nurse · Antioch, SD
NPI number
1063660876
Active
Practice location
1208 New Lodge Ct
Antioch, SD 37013-3618
Fax (615) 837-0675
Mailing address
1208 Newlodge Ct
Antioch, TN 37013-5718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 0000096892 (TN) |
General Practice Registered Nurse: Definition to come...
About NPI 1063660876
Tewanna Ronielle Johnson, R.N.'s National Provider Identifier is 1063660876, issued on Sep 4, 2008. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Antioch, SD. The record was last updated on Sep 4, 2008.