Individual
CYNTHIA JOHNSON DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1080 RIVER OAKS DR STE B103, FLOWOOD, MS 39232-7602
(601) 366-1011
(601) 932-6111
Mailing address
1080 RIVER OAKS DR STE B103, FLOWOOD, MS 39232-7602
(601) 366-1011
(601) 932-6111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853619
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03631264
—
MS
Enumeration date
06/15/2006
Last updated
08/18/2016
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