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Jackie Ann Johnson
Licensed Practical Nurse in Maryville, Tennessee
NPI 1740516251

Jackie Ann Johnson is a Licensed Practical Nurse based in Knoxville, TN. Jackie Ann Johnson practices in Maryville, TN. The NPI Number for Jackie Ann Johnson is 1740516251 and holds a License No. LPN69057 (Tennessee).

The current practice location address for Jackie Ann Johnson is 627 Smithview Dr, Maryville, TN and can be reached out via phone at 865-380-4390 and via fax at 865-380-4396. You can also correspond with Jackie Ann Johnson through the mailing address at DEPT 888182, KNOXVILLE, TN - 37995-8182 (mailing address contact number: 800-355-3565).

Location: 627 Smithview Dr, Maryville, TN, 37995-8182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740516251
Provider Name
Jackie Ann Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
627 Smithview Dr, Maryville, TN, 37995-8182
Phone Number
865-380-4390
Fax Number
865-380-4396
Provider Enumeration Date
10/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
627 Smithview Dr
City
Maryville
State
Tennessee
Zip
37803-6100
Phone Number
865-380-4390
Fax Number
865-380-4396
person
Provider Business Mailing Address Details
Address
627 Smithview Dr
City
Maryville
State
Tennessee
Zip
37803-6100
Phone Number
865-380-4390
Fax Number
865-380-4396
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN69057 (Tennessee)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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