Individual
NEKESHA MICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
960 J K AVENT DRIVE, GRENADA, MS 38901
(662) 227-7375
Mailing address
1100 COLLEGE ST, COLUMBUS, MS 39701-5821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905012
MS
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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