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JACKIE ANN JOHNSON
NPI 1740516251
Licensed Practical Nurse in Maryville, TN

Active since October 19, 2009
627 SMITHVIEW DR, MARYVILLE, TN 37803(865) 380-4390(865) 380-4396 Get Directions Write a Review

NPPES record last updated: October 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Ann Johnson NPPES

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

JACKIE ANN JOHNSON (NPI 1740516251) is an individual licensed practical nurse in Maryville, Tennessee, licensed in Tennessee (LPN69057) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1740516251
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACKIE ANN JOHNSON
Location Address627 SMITHVIEW DRMaryville, TN 37803-6100
Mailing AddressDept 888182Knoxville, TN 37995-8182 · (800) 355-3565 · Fax (423) 714-2355
Phone(865) 380-4390
Fax(865) 380-4396
Sole ProprietorNo
Enumeration DateOctober 19, 2009
✔ NPI 1740516251 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 · LPN69057
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.
627 SMITHVIEW DR, Maryville, TN 37803
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Other Names 1

Former Name (1)Jackie Ann Wilbert

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANA MARIE DEVINE LMSW
Social Worker (Clinical)
627 SMITHVIEW DR
MARYVILLE, TN 37803
Blount County (865) 380-4390
SHARA BETH OVERBAY LCSW
Social Worker (Clinical)
627 SMITHVIEW DR
MARYVILLE, TN 37803
Blount County (865) 380-4390

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 Jackie Johnson's NPI number?

The NPI number for Jackie Johnson is 1740516251. It was assigned to this individual provider in the NPPES registry on October 19, 2009. The provider is also known as Jackie Ann Wilbert.

Where is Jackie Johnson located?

Jackie Johnson practices at 627 Smithview Dr, Maryville, TN 37803. The listed phone number is (865) 380-4390.

What is Jackie 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 Jackie Johnson was last updated on October 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.