Individual provider · Type 1 NPI

Jackie Ann Johnson

Licensed Practical Nurse · Maryville, TN

NPI number 1740516251 Active

Practice location

627 Smithview Dr
Maryville, TN 37803-6100

Call (865) 380-4390 Map

Fax (865) 380-4396

Mailing address

Dept 888182
Knoxville, TN 37995-8182

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	LPN69057 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2 other providers at this address

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About NPI 1740516251

Jackie Ann Johnson's National Provider Identifier is 1740516251, issued on Oct 19, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Maryville, TN. The record was last updated on Oct 19, 2009.