Search › Tennessee › 363A00000X
Billy Johnson, PA-C
NPI 1558659599 · on the registry since 2011
Practice
- Address
- 597 W Forest Ave
Jackson, TN 38301 - Phone
- (731) 300-4800
- Fax
- (731) 300-4863
- Organisation at this address
- Island Park Beach Holdings Llc
West Tennessee Transitional Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee