Individual provider · Type 1 NPI
Alicon Kathleen Johnson, CPNP-AC
Critical Care Pediatric Nurse Practitioner · Jackson, MS
NPI number
1265796981
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Fax (601) 984-4214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | R862571 (MS) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1265796981
Alicon Kathleen Johnson, CPNP-AC's National Provider Identifier is 1265796981, issued on Jun 27, 2012. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Jackson, MS. The record was last updated on Jun 27, 2012.