Edna Jann Johnson, is a
Licensed Vocational Nurse based in Tullahoma, Tennessee. Edna Jann Johnson is licensed to practice in Tennessee (license number 38362) and her current practice location is
1805 N Jackson St, Tullahoma, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 461-1300.
NPI number for Edna Jann Johnson is 1215065404 and her current mailing address is 1393 Whiteside Hill Rd, Wartrace, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215065404.
Provider's Profile
| Full Name | Edna Jann Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 1805 N Jackson St, Tullahoma, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215065404
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Edna Jann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215065404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 38362 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edna Jann Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edna Jann Johnson,
1393 Whiteside Hill Rd,
Wartrace, TN 37183-3054
Ph: (931) 461-1300 | Edna Jann Johnson,
1805 N Jackson St,
Tullahoma, TN 37388-2290
Ph: (931) 461-1300 |
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