Robert Andrew Johnson, RN
Individual provider Active NPI General Practice Registered Nurse · Church Hill, TN
NPI 1225754724 · NPPES record last updated Oct 17, 2022
Key facts
- NPI
- 1225754724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 0000180561 (TN)
- Practice address
- 247 Silver Lake Rd
Church Hill, TN 37642-3516 - Phone
- (142) 335-7534
- NPI assigned
- Oct 17, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000180561 | TN | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 0000180561 | TN | Yes |
Addresses
Primary practice location
247 Silver Lake Rd
Church Hill, TN 37642-3516
Mailing address
247 Silver Lake Rd
Church Hill, TN 37642-3516
Phone (142) 335-7534
Other providers in Church Hill, TN
- Bethany Hensley
- Hannah Celeste Hunter
- Amanda Hope Hutchison
- Sherry Lanette Jackson
- Mark Jenkins
- Amy Condra Jones
- K-VA-T Food Stores Inc
- Ashley Marie Keylon
- Carol Light
- Christy Lyons
All providers in Church Hill, TN · General Practice Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.