Individual
MS. JENNIFER L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
993 DRY CREEK RD, CANTON, MS 39046-8686
(601) 573-7582
Mailing address
993 DRY CREEK RD, CANTON, MS 39046-8686
(601) 573-7582
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
906486
MS
Other
Enumeration date
05/11/2010
Last updated
09/26/2019
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