Mrs Tewanna Ronielle Johnson, RN is a
Registered Nurse - General Practice based in Antioch, South Dakota. Mrs Tewanna Ronielle Johnson is licensed to practice in Tennessee (license number 0000096892) and her current practice location is
1208 New Lodge Ct, Antioch, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(615) 837-0675.
NPI number for Mrs Tewanna Ronielle Johnson is 1063660876 and her current mailing address is 1208 Newlodge Ct, Antioch, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063660876.
Provider's Profile
| Full Name | Mrs Tewanna Ronielle Johnson |
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| Gender | Female |
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| Speciality | Registered Nurse - General Practice |
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| Location | 1208 New Lodge Ct, Antioch, South Dakota |
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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: 1063660876
- Provider Enumeration Date: 09/04/2008
- Last Update Date: 09/04/2008
Medical Identifiers
Medical identifiers for Mrs Tewanna Ronielle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063660876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WG0000X | Registered Nurse - General Practice | 0000096892 (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. Mrs Tewanna Ronielle 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 |
|---|
Mrs Tewanna Ronielle Johnson, RN
1208 Newlodge Ct,
Antioch, TN 37013-5718
Ph: (615) 837-0675 | Mrs Tewanna Ronielle Johnson, RN
1208 New Lodge Ct,
Antioch, SD 37013-3618
Ph: (615) 837-0675 |
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