Individual
ASHLEY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12 BRUNSWICK ST, BYHALIA, MS 38611-7000
(662) 838-2163
Mailing address
12 BRUNSWICK ST, BYHALIA, MS 38611-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902961
MS
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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