Individual
MRS. NESIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 S BROADWAY ST STE 105, MCCOMB, MS 39648-5168
(601) 600-6677
Mailing address
529 S BROADWAY ST STE 105, MCCOMB, MS 39648-5168
(601) 814-9703
(601) 873-1810
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/01/2019
Last updated
04/20/2023
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