WANDA JOHNSON BCFNP NPI 1033420914

NPI Information

NPI: 1033420914
Provider Name: WANDA JOHNSON, BCFNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
350 W WOODROW WILSON AVE
SUITE 411
JACKSON, MS
ZIP 39213
Phone: (601) 364-2666
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Wanda Johnson, BCFNP is a family nurse practitioner in Jackson, MS. Wanda Johnson, BCFNP NPI is 1033420914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

350 W WOODROW WILSON AVE
SUITE 411
JACKSON, MS
ZIP 39213-681
Phone: (601) 364-2666

The enumeration date for this NPI number is 6/25/2010 and was last updated on 6/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R586986	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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