| Tanell Twanna Johnson, | |
|
2100 Palmyra Rd, Albany, GA 31701-1320 | |
| (298) 883-3636 | |
| (229) 888-5535 |
| Full Name | Tanell Twanna Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2100 Palmyra Rd, Albany, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306355425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN191184 (Georgia) | Primary |
| Entity Name | Valley Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952599623 PECOS PAC ID: 8628988276 Enrollment ID: O20040528000880 |
| Entity Name | Richmond County Board Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225089824 PECOS PAC ID: 6608829049 Enrollment ID: O20050225000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanell Twanna Johnson, 204 N Westover Blvd, Albany, GA 31707-2983 Ph: (229) 888-6559 | Tanell Twanna Johnson, 2100 Palmyra Rd, Albany, GA 31701-1320 Ph: (298) 883-3636 |
Brittany Pines, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 W 3rd Ave, Suite 105, Albany, GA 31701 Phone: 229-312-2380 | |
Rhonda Jeannean Haynes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Scarlett Ann Wade, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 414 5th Ave, Albany, GA 31701 Phone: 229-883-4555 Fax: 229-888-0063 | |
Josiane K Ewiah, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 W 4th Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Susan Darlene Boyett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2402 Osler Ct, Albany, GA 31707 Phone: 229-438-3300 Fax: 229-438-4651 | |
Ms. Beverly Ann Willis, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-434-2173 Fax: 229-434-2548 | |
Stephanie Warfel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 |