person
Caryn Alison Johnson, FNP
Family Nurse Practitioner in Jackson, Mississippi
NPI 1841364528

Caryn Alison Johnson is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Caryn Alison Johnson practices in Jackson, MS and has the professional credentials of FNP. The NPI Number for Caryn Alison Johnson is 1841364528 and holds a License No. R869964 (Mississippi).

The current practice location address for Caryn Alison Johnson is 969 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-200-3631 and via fax at 601-200-0166.

Location: 969 Lakeland Dr, Jackson, MS, 39225-3457
person
Provider Profile Details
NPI Number
1841364528
Provider Name
Caryn Alison Johnson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
969 Lakeland Dr, Jackson, MS, 39225-3457
Phone Number
601-200-3631
Fax Number
601-200-0166
Provider Enumeration Date
11/17/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
630575YKHV 01 MS MEDICARE
04627304 05 MS
P02160922 01 MS RAILROAD MEDICARE
R869964 01 MS RN LICENSE
institution
Provider Business Practice Location Address Details
Address
969 Lakeland Dr
City
State
Zip
39216-4606
Phone Number
601-200-3631
Fax Number
601-200-0166
person
Provider Business Mailing Address Details
Address
969 Lakeland Dr
City
State
Zip
39216-4606
Phone Number
601-200-3631
Fax Number
601-200-0166
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R869964 (Mississippi)
Definition
Definition to come...
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