IndividualActive
Amanda Johnson, CPNP-BC
NPI 1508374174 · Pediatric Nurse Practitioner · Harriman, TN
Provider details
- NPI number
- 1508374174
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 23469 (TN)
Mailing address
1930 Alcoa Hwy Ste 145
Knoxville, TN 37920-1546
Registry dates
- Enumerated
- 2018-01-17
- Last updated
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.