Individual
CASSANDRA AMOS- JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
503 SILVER CROSS DR, BROOKHAVEN, MS 39601-2388
(601) 833-2361
Mailing address
111 ROWAN OAK PL, TERRY, MS 39170-7809
(601) 540-8260
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
902422
MS
363LF0000X
Family Nurse Practitioner
Primary
902422
MS
Other
Enumeration date
12/11/2017
Last updated
09/21/2021
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