person
Roger Dale Johnson, FNP
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1215975362

Roger Dale Johnson is a Family Nurse Practitioner based in Kingsport, TN and is specialized in Family. Roger Dale Johnson practices in Johnson City, TN and has the professional credentials of FNP. The NPI Number for Roger Dale Johnson is 1215975362 and holds a License No. TN11991 (Tennessee).

The current practice location address for Roger Dale Johnson is 207 E Myrtle Ave, Johnson City, TN and can be reached out via phone at 423-925-2600 and via fax at 423-925-2600. You can also correspond with Roger Dale Johnson through the mailing address at 252 WORTHINGTON DR, KINGSPORT, TN - 37663-3180 (mailing address contact number: 423-925-2600).

Location: 207 E Myrtle Ave, Johnson City, TN, 37663-3180
person
Provider Profile Details
NPI Number
1215975362
Provider Name
Roger Dale Johnson
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
207 E Myrtle Ave, Johnson City, TN, 37663-3180
Phone Number
423-925-2600
Fax Number
423-925-2600
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3643768 05 TN
institution
Provider Business Practice Location Address Details
Address
207 E Myrtle Ave
City
State
Zip
37601-4633
Phone Number
423-925-2600
Fax Number
423-925-2600
person
Provider Business Mailing Address Details
Address
207 E Myrtle Ave
City
State
Zip
37601-4633
Phone Number
423-925-2600
Fax Number
423-925-2600
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
TN11991 (Tennessee)
Definition
Definition to come...
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