Mrs Tewanna Ronielle Johnson, RN in Antioch, SD - Registered Nurse

Mrs Tewanna Ronielle Johnson, RN is a Registered Nurse - General Practice based in Antioch, South Dakota. Mrs Tewanna Ronielle Johnson is licensed to practice in Tennessee (license number 0000096892) and her current practice location is 1208 New Lodge Ct, Antioch, South Dakota. She can be reached at her office (for appointments etc.) via phone at (615) 837-0675.

NPI number for Mrs Tewanna Ronielle Johnson is 1063660876 and her current mailing address is 1208 Newlodge Ct, Antioch, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063660876.

Contact Information

	Mrs Tewanna Ronielle Johnson, RN
	1208 New Lodge Ct, Antioch, SD 37013-3618
	(615) 837-0675
	(615) 837-0675

Provider's Profile

Full Name	Mrs Tewanna Ronielle Johnson
Gender	Female
Speciality	Registered Nurse - General Practice
Location	1208 New Lodge Ct, Antioch, South Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1063660876
Provider Enumeration Date: 09/04/2008
Last Update Date: 09/04/2008

Medical Identifiers

Medical identifiers for Mrs Tewanna Ronielle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063660876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	0000096892 (Tennessee)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tewanna Ronielle Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Tewanna Ronielle Johnson, RN 1208 Newlodge Ct, Antioch, TN 37013-5718 Ph: (615) 837-0675	Mrs Tewanna Ronielle Johnson, RN 1208 New Lodge Ct, Antioch, SD 37013-3618 Ph: (615) 837-0675

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Mrs Tewanna Ronielle Johnson, RN - Registered Nurse in Antioch, SD