Individual
KOSHEYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
300 RAWLS DR STE 100, MCCOMB, MS 39648-2852
(601) 684-2481
(601) 684-2488
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906884
MS
Other
Enumeration date
08/16/2024
Last updated
08/20/2024
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