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Elmina Johnson
Family Nurse Practitioner in Jackson, Mississippi
NPI 1891736260

Elmina Johnson is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Elmina Johnson practices in Jackson, MS. The NPI Number for Elmina Johnson is 1891736260 and holds a License No. R133690 (Mississippi).

The current practice location address for Elmina Johnson is 3502 W Northside Dr, Jackson, MS and can be reached out via phone at 601-362-5321 and via fax at 601-364-2600.

Location: 3502 W Northside Dr, Jackson, MS, 39213-4454
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Provider Profile Details
NPI Number
1891736260
Provider Name
Elmina Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3502 W Northside Dr, Jackson, MS, 39213-4454
Phone Number
601-362-5321
Fax Number
601-364-2600
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00115564 05 MS
institution
Provider Business Practice Location Address Details
Address
3502 W Northside Dr
City
State
Zip
39213-4454
Phone Number
601-362-5321
Fax Number
601-364-2600
person
Provider Business Mailing Address Details
Address
3502 W Northside Dr
City
State
Zip
39213-4454
Phone Number
601-362-5321
Fax Number
601-364-2600
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R133690 (Mississippi)
Definition
Definition to come...
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