Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ida Johnican

Individual provider Driver · NPI 1134732290

Ida Johnican is a Driver in Cordova, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

491 S Sanga Rd
Cordova, TN 38018-7686
Phone: (901) 230-4309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X

Record details

NPI number1134732290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 27, 2020
Mailing address491 S Sanga Rd, Cordova, TN 38018-7686

Other providers in Cordova