Individual
DONNA LAUREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
109 FRONT ST, SANDERSVILLE, MS 39477
(601) 490-7190
Mailing address
688 JOE PERRETT RD, LAUREL, MS 39443-0746
(601) 319-1837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905187
MS
Other
Enumeration date
03/10/2022
Last updated
01/14/2025
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