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Contact Information

ANGELA JOHNSON, FNP
438 E VANN RD
SUITE 202
GREENEVILLE, TN37743-7202
 Phone: 423-278-1712
 Fax: 423-278-1703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for ANGELA JOHNSON · (Female)

NPI # 1912951005
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 05/22/2006
Last updated 10/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TN License # APN6998
  • TN License # RD100377
  • NC Medicaid 7004058
  • TN Medicaid 33485101
  • Other 4062794 BLUE CROSS PROVIDER
  • Other TN0100 JOHN DEERE PROVIDER
Hospital affiliation(s)
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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