Johnson, Angela

Johnson, Angela is an individual health care provider with primary practice located at 438 E Vann Rd Suite 202, Greeneville TN 37743-7202. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Angela can be contacted via phone (423) 278-1712.

Contact Information

Primary practice address
438 E Vann Rd Suite 202 Greeneville TN 37743-7202
Fax: (423) 278-1703
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X RD100377 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN6998 Tennessee

Profile Details

NPI number 1912951005
LBN Legal business name Johnson, Angela
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Oct 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912951005 NPPES
Other TN0100 JOHN DEERE PROVIDER
MEDICAID 33485101 JOHN DEERE PROVIDER
MEDICAID 7004058 JOHN DEERE PROVIDER
Other 4062794 JOHN DEERE PROVIDER

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