Individual provider · Type 1 NPI
Phyllis Polk Johnson, FNP
Family Nurse Practitioner · Jackson, MS
NPI number
1073531091
Active
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Fax (601) 368-4479
Mailing address
1542 Fairwood Dr
Jackson, MS 39213-7915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R574848 (MS) |
Family Nurse Practitioner: Definition to come...
404 other providers at this address
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- Jackson Va Medical CenterSubstance Abuse Rehabilitation Facility Jackson, MS NPI 1285716928
- Jackson VamcVA Clinic/Center Jackson, MS NPI 1588393318
- Jackson VamcVA Clinic/Center Jackson, MS NPI 1922496280
- Jackson VamcDepartment of Veterans Affairs (VA) Pharmacy Jackson, MS NPI 1932167756
- Jackson VamcGeneral Acute Care Hospital Jackson, MS NPI 1992754543
- Sonny Montgomer VamcSpecial Hospital Jackson, MS NPI 1851730121
- Sonny Montgomery V A M Edical CenterChronic Disease Hospital Jackson, MS NPI 1013014695
- V.a. Medical CenterSpecial Hospital Jackson, MS NPI 1952744336
Other family nurse practitioner providers in Jackson
- Christian R. Fortenberry, FNPFamily Nurse Practitioner Jackson, MS NPI 1003415266
- Caryl P. Sumrall, FNPFamily Nurse Practitioner Jackson, MS NPI 1003840646
- Katrice Pacley Andrews, FNP-CFamily Nurse Practitioner Jackson, MS NPI 1013451780
- Ericia Latrice Cannon, NURSE PRACTITONERFamily Nurse Practitioner Jackson, MS NPI 1013473891
- Donna Carol Ricotta, NPFamily Nurse Practitioner Jackson, MS NPI 1013614064
- Jequetta Shureka Ilion McLaurin, FNPFamily Nurse Practitioner Jackson, MS NPI 1013698513
- Jocelyn Patrice Seawood, FNP-CFamily Nurse Practitioner Jackson, MS NPI 1013699057
- Tatonja Rashetta Jones, NPFamily Nurse Practitioner Jackson, MS NPI 1013989953
About NPI 1073531091
Phyllis Polk Johnson, FNP's National Provider Identifier is 1073531091, issued on Jul 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.