Glenda Rachel Johnson, LPN is a
Licensed Practical Nurse based in Ten Mile, Tennessee. Glenda Rachel Johnson is licensed to practice in Tennessee (license number 56399) and her current practice location is
27597 State Highway 58 N, Ten Mile, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 618-2203.
NPI number for Glenda Rachel Johnson is 1063207579 and her current mailing address is 27597 State Highway 58 N, Ten Mile, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063207579.
Provider's Profile
| Full Name | Glenda Rachel Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 27597 State Highway 58 N, Ten Mile, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063207579
- Provider Enumeration Date: 04/14/2025
- Last Update Date: 04/14/2025
Medical Identifiers
Medical identifiers for Glenda Rachel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063207579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 56399 (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. Glenda Rachel 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 |
|---|
Glenda Rachel Johnson, LPN
27597 State Highway 58 N,
Ten Mile, TN 37880-4024
Ph: (423) 618-2203 | Glenda Rachel Johnson, LPN
27597 State Highway 58 N,
Ten Mile, TN 37880-4024
Ph: (423) 618-2203 |
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