Individual
LAURA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8000
Mailing address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901623
MS
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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