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Dr. Johnnie Susan Cooper Wijewardane, PHD,FNP
Family Nurse Practitioner in Starkville, Mississippi
NPI 1316196850

Johnnie Susan Cooper Wijewardane is a Family Nurse Practitioner based in Starkville, MS and is specialized in Family. Johnnie Susan Cooper Wijewardane practices in Starkville, MS and has the professional credentials of PHD,FNP. The NPI Number for Johnnie Susan Cooper Wijewardane is 1316196850 and holds a License No. R852708 (Mississippi).

The current practice location address for Johnnie Susan Cooper Wijewardane is 1430 Cedar Creek Ln, Starkville, MS and can be reached out via phone at 662-312-1021.

Location: 1430 Cedar Creek Ln, Starkville, MS, 39759-8488
person
Provider Profile Details
NPI Number
1316196850
Provider Name
Johnnie Susan Cooper Wijewardane
Credential
PHD,FNP
Provider Entity Type
Individual
Gender
Female
Address
1430 Cedar Creek Ln, Starkville, MS, 39759-8488
Phone Number
662-312-1021
Fax Number
Provider Enumeration Date
09/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04887214 05 MS
institution
Provider Business Practice Location Address Details
Address
1430 Cedar Creek Ln
City
State
Zip
39759-8488
Phone Number
662-312-1021
Fax Number
person
Provider Business Mailing Address Details
Address
1430 Cedar Creek Ln
City
State
Zip
39759-8488
Phone Number
662-312-1021
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R852708 (Mississippi)
Definition
Definition to come...
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