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NPI Profile for AMANDA L JOHNSON in HARRIMAN, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI # | 1508374174 |
|
| Status | Active | |
| Credentials | CPNP-BC | |
| Entity | Individual | |
| Enumeration date | 01/17/2018 | |
| Last updated | 10/30/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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AMANDA L JOHNSON
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AMANDA L JOHNSON, CPNP-BC