CJ Medical LLC Candace Johnson

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

16163 Issued in TN

Legal business name

CJ MEDICAL LLC CANDACE JOHNSON

Practice address

12095 Steekee School Rd
Loudon, TN 37774-4565

Phone

(865) 458-3290

NPI assigned

Feb 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candace Johnson, NP

Title

Owner

Phone

(865) 755-4286

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1629340799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12095 STEEKEE SCHOOL RD",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377744565",
            "telephone_number": "865-458-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12095 STEEKEE SCHOOL RD",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377744565",
            "telephone_number": "865-458-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ MEDICAL LLC CANDACE JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-755-4286",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "16163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Loudon, TN
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.