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NPI 1023578267 · live from the CMS NPI Registry

Rebecca Johnson Agner, DO

Pediatrics in Knoxville, TN. National Provider Identifier 1023578267, active.

NPI record

NPI1023578267 Type 1 · individual
StatusActive
Primary specialtyPediatrics 208000000X
Practice location224 S Peters Road Suite 105, Knoxville, TN 37923
Practice phone865-470-8844
Mailing addressPo Box 15004, Knoxville, TN 37901
EnumeratedMarch 22, 2019
Last updatedJanuary 29, 2025
Sole proprietorNo
Other namesRebecca Johnson

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics, Adolescent Medicine2080A0000X5654 (TN)
Pediatrics primary208000000X5654 (TN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.