| Tammy L Johnson, FNP | |
|
10650 Us Route 60, Ashland, KY 41102-9611 | |
| (606) 408-7337 | |
| (606) 408-6349 |
| Full Name | Tammy L Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 10650 Us Route 60, Ashland, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144639519 | NPI | - | NPPES |
| 3810028389 | Medicaid | WV | |
| 7100408100 | Medicaid | KY | |
| 0115926 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3008814 (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | COA.16361-NP (Ohio) | Secondary |
| Entity Name | Ashland Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851346720 PECOS PAC ID: 7719882521 Enrollment ID: O20040205001138 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy L Johnson, FNP Po Box 1595, Ashland, KY 41105-1595 Ph: (606) 408-6200 | Tammy L Johnson, FNP 10650 Us Route 60, Ashland, KY 41102-9611 Ph: (606) 408-7337 |
Lisa Ellen Spencer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 230, Ashland, KY 41101 Phone: 606-324-4745 Fax: 606-324-4941 | |
Tomie Thompson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ashland Dr, Ste G1, Ashland, KY 41101 Phone: 606-833-4043 | |
Susan Aliff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 617 23rd St Ste 19, Ashland, KY 41101 Phone: 606-325-2221 Fax: 606-324-1326 | |
Tracy Ricewick, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 130, Ashland, KY 41101 Phone: 606-329-9335 | |
Rita Nicole Fletcher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 399 Diederich Blvd, Ashland, KY 41101 Phone: 606-324-8060 Fax: 606-325-6889 | |
Darren Barker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 613 23rd St Ste 440, Ashland, KY 41101 Phone: 606-329-2888 | |
Martina Renate Myers, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 Fax: 606-408-6825 |