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Stephen D Johnson, FNP
Family Nurse Practitioner in Jackson, Mississippi
NPI 1598068892

Stephen D Johnson is a Family Nurse Practitioner based in Brandon, MS and is specialized in Family. Stephen D Johnson practices in Jackson, MS and has the professional credentials of FNP. The NPI Number for Stephen D Johnson is 1598068892 and holds a License No. R863721 (Mississippi).

The current practice location address for Stephen D Johnson is 969 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-200-2000.

Location: 969 Lakeland Dr, Jackson, MS, 39047-6366
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Provider Profile Details
NPI Number
1598068892
Provider Name
Stephen D Johnson
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
969 Lakeland Dr, Jackson, MS, 39047-6366
Phone Number
601-200-2000
Fax Number
Provider Enumeration Date
12/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02335251 05 MS
institution
Provider Business Practice Location Address Details
Address
969 Lakeland Dr
City
State
Zip
39216-4606
Phone Number
601-200-2000
Fax Number
person
Provider Business Mailing Address Details
Address
969 Lakeland Dr
City
State
Zip
39216-4606
Phone Number
601-200-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R863721 (Mississippi)
Definition
Definition to come...
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