Provider Demographics
NPI:1306159181
Name:JOHNSON, LUANN JOAN (APN, NP-C)
Entity type:Individual
Prefix:MS
First Name:LUANN
Middle Name:JOAN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:APN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 DONMOND DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-5411
Mailing Address - Country:US
Mailing Address - Phone:615-579-0034
Mailing Address - Fax:615-822-7775
Practice Address - Street 1:110 DONMOND DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-5411
Practice Address - Country:US
Practice Address - Phone:615-579-0034
Practice Address - Fax:615-822-7775
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15065363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health