Individual
JULI K. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
1364 KIMWOOD DR, JACKSON, MS 39211-5913
(601) 906-0409
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901449
MS
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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