Individual
DR. ADRIENNE SIZER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
(601) 933-9525
Mailing address
2045 QUEENSROAD AVE, JACKSON, MS 39213-4737
(601) 937-6158
(601) 933-9525
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R866793
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00323707
—
MS
01
—
P00973179
RR MEDICARE
MS
01
—
P00982101
RAILROAD MEDICARE PTAN
MS
Enumeration date
05/01/2007
Last updated
11/21/2013
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