Individual
MRS. REBECCA ANNETTE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1107 GRAND AVE, LENA, MS 39094-8994
(601) 654-3433
(601) 654-0117
Mailing address
1107 GRAND AVE, LENA, MS 39094-8994
(601) 654-3433
(601) 654-0117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902274
MS
Other
Enumeration date
10/02/2017
Last updated
03/04/2021
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