Individual
WHITNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
399 GINGER DR, DIBERVILLE, MS 39540-3757
(228) 257-0807
Mailing address
399 GINGER DR, DIBERVILLE, MS 39540-3757
(228) 257-0807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
902834
MS
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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