Individual
CARYN ALISON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8000
Mailing address
680 HIGHWAY 51 STE D, RIDGELAND, MS 39157-2103
(769) 251-1040
(769) 251-1040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R869964
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R869964
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04627304
—
MS
01
—
630575YKHV
MEDICARE
MS
01
—
P02160922
RAILROAD MEDICARE
MS
01
—
R869964
RN LICENSE
MS
Enumeration date
11/17/2006
Last updated
02/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us