Provider Demographics
NPI:1730572959
Name:JOHNSON PORTERFIELD, HANNAH
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:
Last Name:JOHNSON PORTERFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N GREENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-2723
Mailing Address - Country:US
Mailing Address - Phone:615-453-1252
Mailing Address - Fax:
Practice Address - Street 1:120 N GREENWOOD ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-2723
Practice Address - Country:US
Practice Address - Phone:615-257-5609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19755363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily