MS. TAMI BIVINS JOHNSON FNP NPI 1205922747

NPI Information

  • NPI: 1205922747
  • Provider Name: MS. TAMI BIVINS JOHNSON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 603B HWY 365
    BURNSVILLE MEDICAL CLINIC
    BURNSVILLE, MS
    ZIP 38833
  • Phone: (662) 427-9999

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NPI Details

MS. Tami Bivins Johnson, FNP is a family nurse practitioner in Burnsville, MS. MS. Tami Bivins Johnson, FNP NPI is 1205922747. 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:

603B HWY 365
BURNSVILLE MEDICAL CLINIC
BURNSVILLE, MS
ZIP 38833
Phone: (662) 427-9999
Fax: (662) 427-9977

The enumeration date for this NPI number is 10/4/2006 and was last updated on 1/21/2009.

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
1363LF0000XNurse PractitionerFamilyR605972MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S07329MEDICARE UPINMISSISSIPPI
20118256MEDICAIDMISSISSIPPI

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: 3/30/2025

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