Individual provider · Type 1 NPI
Courtney N. D. Johnson, FNP-BC
Family Nurse Practitioner · Gulfport, MS
NPI number
1174484026
Active
Practice location
4500 13th St
Gulfport, MS 39501-2515
Fax (228) 867-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 914075 (MS) |
| Family Nurse Practitioner Primary | 363LF0000X | 907951 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174484026
Courtney N. D. Johnson, FNP-BC's National Provider Identifier is 1174484026, issued on Nov 20, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gulfport, MS. The record was last updated on Nov 20, 2025.