Individual provider · Type 1 NPI
Shannon Marie Johnson, FNP-C
Family Nurse Practitioner · Belvidere, TN
NPI number
1114435484
Active
Practice location
120 Horton Ln
Belvidere, TN 37306-2109
Fax (931) 308-6537
Mailing address
1509 Old Cowan Rd
Winchester, TN 37398-1913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 23682 (TN) |
Family Nurse Practitioner: Definition to come...
About NPI 1114435484
Shannon Marie Johnson, FNP-C's National Provider Identifier is 1114435484, issued on Jan 19, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Belvidere, TN. The record was last updated on Feb 3, 2018.