| Mrs Angela Johnson, FNP | |
|
438 E Vann Rd, Suite 202, Greeneville, TN 37743-7202 | |
| (423) 278-1712 | |
| (423) 278-1703 |
| Full Name | Mrs Angela Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 438 E Vann Rd, Greeneville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912951005 | NPI | - | NPPES |
| TN0100 | Other | JOHN DEERE PROVIDER | |
| 33485101 | Medicaid | TN | |
| 7004058 | Medicaid | NC | |
| 4062794 | Other | BLUE CROSS PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WW0000X | Registered Nurse - Wound Care | RD100377 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN6998 (Tennessee) | Primary |
| Entity Name | Southeastern Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | Legacy Vein Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477972933 PECOS PAC ID: 2264727627 Enrollment ID: O20160824000796 |
| Entity Name | Ipc Pac Healthcare Services of Tennessee PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
| Entity Name | NV Pacs 2 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
| Entity Name | CS Pacs 3 Southeast LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231206003761 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Angela Johnson, FNP Po Box 37087, Baltimore, MD 21297-3087 Ph: (828) 687-5616 | Mrs Angela Johnson, FNP 438 E Vann Rd, Suite 202, Greeneville, TN 37743-7202 Ph: (423) 278-1712 |
Melanie Beatrice Honeycutt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-787-5000 |
Mr. Joe David Mottern, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1410 Tusculum Blvd, Suite 2300, Greeneville, TN 37745 Phone: 423-823-5190 Fax: 423-823-5193 |
Jamie Alice Strozier, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2994 Camp Creek Rd, Greeneville, TN 37743 Phone: 423-787-0680 Fax: 423-787-7720 |
Eva Karol Sasala, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1404 Tusculum Blvd Ste 3100, Greeneville, TN 37745 Phone: 423-638-4114 Fax: 423-638-1605 |
Emily Treasure Yates, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1404 Tusculum Blvd Ste 3100, Greeneville, TN 37745 Phone: 423-638-4114 Fax: 833-908-2069 |
Mrs. Amanda Michele Mullins, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 712 Professional Plaza Dr, Greeneville, TN 37745 Phone: 423-820-0432 Fax: 423-525-8795 |
Ms. Ann Elizabeth Espey, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 580 Van Hill Rd, Greeneville, TN 37745 Phone: 423-234-1020 Fax: 423-234-0646 |