Vic Johnson, is a
Registered Nurse based in Mt Carmel, Tennessee. Vic Johnson is licensed to practice in Tennessee (license number RN0000209540) and his current practice location is
145 Cherry St, Mt Carmel, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 921-4424.
NPI number for Vic Johnson is 1700310521 and his current mailing address is 145 Cherry St, Mt Carmel, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700310521.
Provider's Profile
Full Name | Vic Johnson |
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Gender | Male |
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Speciality | Registered Nurse |
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Location | 145 Cherry St, Mt Carmel, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700310521
- Provider Enumeration Date: 04/18/2017
- Last Update Date: 04/18/2017
Medical Identifiers
Medical identifiers for Vic Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700310521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN0000209540 (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. Vic 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 |
Vic Johnson, 145 Cherry St, Mt Carmel, TN 37645-3813 Ph: () - | Vic Johnson, 145 Cherry St, Mt Carmel, TN 37645-3813 Ph: (423) 921-4424 |
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