Smith Johnson, Andrea Lauren

Smith Johnson, Andrea Lauren is an individual health care provider with primary practice located at 310 N State Of Franklin Rd Ste 202 , Johnson City TN 37604-6063. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Smith Johnson, Andrea Lauren can be contacted via phone (423) 929-7111.

Contact Information

Primary practice address
310 N State Of Franklin Rd Ste 202 Johnson City TN 37604-6063
Phone: (423) 929-7111
Fax: (423) 929-9448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 23135 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 23135 Tennessee

Profile Details

NPI number 1083125140
LBN Legal business name Smith Johnson, Andrea Lauren
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2017
Last updated Feb 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083125140 NPPES
Tennessee MEDICAID 3703470

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