IndividualActive
Tewanna Johnson, R.N.
NPI 1063660876 · General Practice Registered Nurse · Antioch, SD
Provider details
- NPI number
- 1063660876
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0000096892 (TN)
Specialties & taxonomies
Nursing Service Providers
Practice location
1208 New Lodge Ct
Antioch, SD 37013-3618
Phone: (615) 837-0675
Fax: (615) 837-0675
Approximate (ZIP-level) locationGet directions
Mailing address
1208 Newlodge Ct
Antioch, TN 37013-5718
Registry dates
- Enumerated
- 2008-09-04
- Last updated
- 2008-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.