person
Ms. Phyllis Polk Johnson, FNP
Family Nurse Practitioner in Jackson, Mississippi
NPI 1073531091

Phyllis Polk Johnson is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Phyllis Polk Johnson practices in Jackson, MS and has the professional credentials of FNP. The NPI Number for Phyllis Polk Johnson is 1073531091 and holds a License No. R574848 (Mississippi).

The current practice location address for Phyllis Polk Johnson is 1500 E Woodrow Wilson Ave, Jackson, MS and can be reached out via phone at 601-362-4471 and via fax at 601-368-4479.

Location: 1500 E Woodrow Wilson Ave, Jackson, MS, 39213-7915
person
Provider Profile Details
NPI Number
1073531091
Provider Name
Phyllis Polk Johnson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1500 E Woodrow Wilson Ave, Jackson, MS, 39213-7915
Phone Number
601-362-4471
Fax Number
601-368-4479
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1500 E Woodrow Wilson Ave
City
State
Zip
39216-5116
Phone Number
601-362-4471
Fax Number
601-368-4479
person
Provider Business Mailing Address Details
Address
1500 E Woodrow Wilson Ave
City
State
Zip
39216-5116
Phone Number
601-362-4471
Fax Number
601-368-4479
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R574848 (Mississippi)
Definition
Definition to come...
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