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

Katie Alyse Johnson, FNP

Individual provider Family Nurse Practitioner · NPI 1194285189

Katie Alyse Johnson, FNP is a Nurse Practitioner in Jackson, Tennessee. Qualified in 2018, 8 years ago. Practices with Total Extended Care Services PC, a 30-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

587 Skyline Dr
Jackson, TN 38301-3938
Phone: (731) 424-8922
Fax: (731) 423-2922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 25622 (TN)

Record details

NPI number1194285189
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESMarch 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Total Extended Care Services Pc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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