NPI 1376982694

Tamara Lynn Johnson

Practitioner Specialist Bartlett, TN

Practice location

Address: 5728 Stage Rd STE 6, Bartlett, TN 38134-4568
Phone: (901) 691-5886

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0000149432 (TN)

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Registry record

NPI: 1376982694
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2013
Record last updated: 19 Jun 2013

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.