Individual
MARY FRANCES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY, JACKSON, MS 39216-4500
(601) 984-5160
(601) 815-6985
Mailing address
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY, JACKSON, MS 39216-4500
(601) 984-5160
(601) 815-6985
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A3585
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A3585
STATE LICENSE
MS
Enumeration date
07/06/2011
Last updated
11/12/2013
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