person
Mrs. Alicon Kathleen Johnson, CPNP-AC
Critical Care Pediatric Nurse Practitioner in Jackson, Mississippi
NPI 1265796981

Alicon Kathleen Johnson is a Critical Care Pediatric Nurse Practitioner based in Jackson, MS and is specialized in Pediatrics, Critical Care. Alicon Kathleen Johnson practices in Jackson, MS and has the professional credentials of CPNP-AC. The NPI Number for Alicon Kathleen Johnson is 1265796981 and holds a License No. R862571 (Mississippi).

The current practice location address for Alicon Kathleen Johnson is 2500 N State St, Jackson, MS and can be reached out via phone at 601-214-9206 and via fax at 601-984-4214.

Location: 2500 N State St, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1265796981
Provider Name
Alicon Kathleen Johnson
Credential
CPNP-AC
Provider Entity Type
Individual
Gender
Female
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-214-9206
Fax Number
601-984-4214
Provider Enumeration Date
06/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-214-9206
Fax Number
601-984-4214
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-214-9206
Fax Number
601-984-4214
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
R862571 (Mississippi)
Definition
Definition to come...
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