Individual
MEAGHAN SCHENK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2969 CURRAN DR N # 200, JACKSON, MS 39216-4121
(601) 974-5600
Mailing address
128 WELLS CT, CANTON, MS 39046-7004
(601) 951-0433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
902290
MS
363LF0000X
Family Nurse Practitioner
Primary
902290
MS
Other
Enumeration date
01/05/2018
Last updated
06/14/2019
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