Individual
JASMINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
829 EAGLES NEST DR, BYRAM, MS 39272-9331
(601) 748-6468
Mailing address
829 EAGLES NEST DR, BYRAM, MS 39272-9331
(601) 748-6468
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
912059
MS
Other
Enumeration date
10/22/2020
Last updated
11/17/2020
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