Individual provider · Type 1 NPI

Tia De'antranise Johnson

Student in an Organized Health Care Education/Training Program · Pinson, AL

NPI number 1740915123 Active

Practice location

7868 Forest Loop
Pinson, AL 35126-4087

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740915123

Tia De'antranise Johnson's National Provider Identifier is 1740915123, issued on Jul 20, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pinson, AL. The record was last updated on Jul 20, 2022.