Johnson, Nicola Ann

Johnson, Nicola Ann is an individual health care provider with primary practice located at 65 Mouse Creek Rd Nw , Cleveland TN 37312-4840. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnson, Nicola Ann can be contacted via phone (423) 476-7212.

Contact Information

Primary practice address
65 Mouse Creek Rd Nw Cleveland TN 37312-4840
Fax: (423) 476-1673
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6994 Tennessee

Profile Details

NPI number 1831738145
LBN Legal business name Johnson, Nicola Ann
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2020
Last updated Jan 3rd, 2020 - about 5 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 1831738145 NPPES
Tennessee Other 6994 TN. DIVISION OF HEALTH LICENSURE AND REGULATION

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