Individual
JOSCELYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2059 US-61, VICKSBURG, MS 39183
(601) 429-1144
Mailing address
PO BOX 306415, NASHVILLE, TN 37230-6415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906941
MS
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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