Individual provider · Type 1 NPI
Maryellen Johnson, FNP
Family Nurse Practitioner · Greeneville, TN
NPI number
1710860432
Active
Practice location
3225 East Aj Hwy
Greeneville, TN 37745-4066
Fax (423) 525-5708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 39345 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1710860432
Maryellen Johnson, FNP's National Provider Identifier is 1710860432, issued on Jul 29, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greeneville, TN. The record was last updated on Jul 13, 2026.