Individual provider · Type 1 NPI

Zackery Johnson

Family Nurse Practitioner · Hattiesburg, MS

NPI number 1336767748 Active

Practice location

6051 U S Highway 49
Hattiesburg, MS 39401-7200

Mailing address

986 Highway 48 E
Tylertown, MS 39667-7115

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XJOHN-5CVAJZ (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1336767748

Zackery Johnson's National Provider Identifier is 1336767748, issued on Jul 12, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 12, 2020.