Individual
DARLENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 ALLYSON GENE CV, BYHALIA, MS 38611-7359
(901) 289-7903
Mailing address
2808 ALLYSON GENE CV, BYHALIA, MS 38611-7359
(901) 289-7903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904219
MS
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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