Individual provider · Type 1 NPI

Katie Alyse Johnson, FNP

Family Nurse Practitioner · Jackson, TN

NPI number 1194285189 Active

Practice location

587 Skyline Dr
Jackson, TN 38301-3938

Fax (731) 423-2922

Mailing address

1804 Highway 45 Byp Ste 604
Jackson, TN 38305-4403

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X25622 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1194285189

Katie Alyse Johnson, FNP's National Provider Identifier is 1194285189, issued on Mar 25, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, TN. The record was last updated on Mar 25, 2019.