NPI 1003615204
Makayla Johnson
Practice location
- Address
- 1 Cumberland Sq, Lebanon, TN 37087-3408
- Phone
- (615) 444-2562
- Mailing address
- 327 Golfview Ln, Springfield, TN 37172-4017
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003615204
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Mar 2025
- Record last updated
- 10 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.