Tamiko Johns, LPN
Individual provider Active NPI Licensed Practical Nurse · MC Kenzie, TN
NPI 1992107213 · NPPES record last updated Sep 17, 2014
Key facts
- NPI
- 1992107213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 83339 (TN)
- Practice address
- 136 Carroll St
MC Kenzie, TN 38201-1704 - Phone
- (407) 758-6397
- NPI assigned
- Sep 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83339 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 83339 | TN | Yes |
Addresses
Primary practice location
136 Carroll St
MC Kenzie, TN 38201-1704
Mailing address
136 Carroll St
MC Kenzie, TN 38201-1704
Phone (407) 758-6397
Other providers in MC Kenzie, TN
- Integrative Health Centers of Kentucky LLC
- Victoria Brooke Ivy
- J. B. Johnsonius, D.D.S.
- Gyu Chang Jo
- John E Motheral
- David Andrew Johnson
- Courtney Kee
- Mary Keen
- Laboratory Corporation of America Holdings
- Cynthia H Laux
All providers in MC Kenzie, TN · Licensed Practical 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 Sep 17, 2014. 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.