Dr. Vernon Latrell Johnson
Internist Geriatric Medicine
5050 Poplar Ave Suite 718
Memphis
, Tennessee 38157-0101
Dr. Vernon Latrell Johnson
Internist Geriatric Medicine
5050 Poplar Ave Suite 718
Memphis
, Tennessee 38157-0101
(901) 509-2926
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Vernon Latrell Johnson
- 5050 Poplar Ave 718
- Memphis, TN
- Zip : 38157-0101
- Fax : (901) 509-2926
- Phone : (901) 443-0475
Second Address
- Dr. Vernon Latrell Johnson
- 5050 Poplar Ave Suite 718
- Memphis, TN
- Zip : 38157-0101
- Fax : (901) 509-2926
- Phone : (901) 443-0475
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Is Dr. Vernon Latrell Johnson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | R3C07 | MO |
| Y | 111NI0900X | Internist | R3C07 | MO |
| N | 207RG0300X | Geriatric Medicine | R3C07 | MO |
National Provider Identifier
| NPI | 1144333030 |
|---|---|
| Provider Name | Dr. Vernon Latrell Johnson |
| First Address | Memphis, TN 38157-0101 |
| Second Address | Memphis, TN 38157-0101 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2006 |
| Last Update Date | 01/08/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201787314 | (05) | MO |
| A10177 | (02) | MO |
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.