Individual
MRS. BOBBIE KAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
1504 HOSPITAL ST, GREENVILLE, MS 38703-3219
(662) 378-9929
Mailing address
PO BOX 461, HOLLANDALE, MS 38748-0461
(662) 820-2803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903335
MS
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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