Individual
YAMINAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1012 BIG LANE DR, BROOKHAVEN, MS 39601-2331
(601) 833-8157
Mailing address
262 REID GIVENS RD, JAYESS, MS 39641-3757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907005
MS
Other
Enumeration date
11/04/2024
Last updated
11/14/2024
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