| Doctor Name: | TAMMY L. JOHNSON |
| NPI Number: | 1144639519 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 3008814 |
| Business Practice Address: | 90 Jackson Pike Gallipolis, OH - 456311560 |
| Business Phone Number: | 8554465937 |
| Business Fax Number: | 7404465711 |
| Mailing Address: | 90 Jackson Pike, GALLIPOLIS |
| State: | OH |
| Postal Code: | 456311560 |
| Phone Number: | 8554465937 |
| Fax Number: | 7404465711 |
| NPI Enumeration Date: | 08/10/2014 |
| NPI Last Update Date: | 04/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3008814 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |