Amy E Johnson
Pediatrician Pediatric Emergency Physician
2863 Highway 45 Byp
Jackson
, Tennessee 38305-3618
Amy E Johnson
Pediatrician Pediatric Emergency Physician
2863 Highway 45 Byp
Jackson
, Tennessee 38305-3618
(731) 422-5743
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Amy E Johnson
- Po Box 400
- Jackson, TN
- Zip : 38302-0400
- Fax : (731) 422-5743
- Phone : (731) 422-0213
Second Address
- Amy E Johnson
- 2863 Highway 45 Byp
- Jackson, TN
- Zip : 38305-3618
- Fax : (731) 660-8369
- Phone : (731) 422-0213
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PP0204X | Pediatric Emergency Physician | DR.0049323 | CO |
| N | 208000000X | Pediatrician | 49323 | CO |
| N | 208000000X | Pediatrician | INPROCESS | TN |
| Y | 208000000X | Pediatrician | MD63332 | TN |
National Provider Identifier
| NPI | 1073578456 |
|---|---|
| Provider Name | Amy E Johnson |
| First Address | Jackson, TN 38302-0400 |
| Second Address | Jackson, TN 38305-3618 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2006 |
| Last Update Date | 21/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S87766 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.