Individual
MARRION GENEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2501 RIVER OAKS BLVD APT 8A, JACKSON, MS 39211-3644
(601) 454-0755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903423
MS
Other
Enumeration date
08/06/2019
Last updated
12/09/2021
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