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GLENDA RACHEL JOHNSON LPN
NPI 1063207579
Licensed Practical Nurse in Ten Mile, TN

Active since April 14, 2025
27597 STATE HIGHWAY 58 N, TEN MILE, TN 37880(423) 618-2203 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenda Rachel Johnson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDA RACHEL JOHNSON LPN (NPI 1063207579) is an individual licensed practical nurse in Ten Mile, Tennessee, licensed in Tennessee (56399) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1063207579
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameGLENDA RACHEL JOHNSONCredential: LPN
Location Address27597 STATE HIGHWAY 58 NTen Mile, TN 37880-4024
Mailing Address27597 State Highway 58 NTen Mile, TN 37880-4024 · (423) 618-2203
Phone(423) 618-2203
Sole ProprietorNo
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1063207579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TN · 56399
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
27597 STATE HIGHWAY 58 N, Ten Mile, TN 37880
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenda Johnson's NPI number?

The NPI number for Glenda Johnson is 1063207579. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Glenda Johnson located?

Glenda Johnson practices at 27597 State Highway 58 N, Ten Mile, TN 37880. The listed phone number is (423) 618-2203.

What is Glenda Johnson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Glenda Johnson was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.