Individual
MRS. KEYAIRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1729 ADAMS RD, OAKLAND, MS 38948-2441
(662) 326-0554
Mailing address
1729 ADAMS RD, OAKLAND, MS 38948-2441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
908319
MS
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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