Individual
JOHANNA M ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
66 OLD AIRPORT RD, HATTIESBURG, MS 39401-8382
(601) 544-7500
Mailing address
22 JUBILEE PT, HATTIESBURG, MS 39402-7619
(254) 577-9850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
171476
AK
363LF0000X
Family Nurse Practitioner
Primary
905927
MS
363LF0000X
Family Nurse Practitioner
SP020416
PA
Other
Enumeration date
08/02/2019
Last updated
12/21/2023
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