Organization · Type 2 NPI

Divinity Healthcare Inc

Family Nurse Practitioner · West Point, MS

NPI number 1396567301 Active

Practice location

99 Winchester Dr Unit K
West Point, MS 39773-2083

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

Another provider at this address

Trinity Sharda' Johnson, FNPFamily Nurse Practitioner West Point, MS NPI 1427785849

Other family nurse practitioner providers in West Point

North Mississippi Medical Clinics IncFamily Nurse Practitioner West Point, MS NPI 1346345741

See all in West Point →

NPI record

NPI: 1396567301
Entity type: Organization (Type 2)
Issued: Oct 30, 2024
Last updated: Apr 7, 2025
Status: Active

Other names

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Divinity Healthcare Inc · doing business as
Divinity Healthcare Inc · doing business as

Authorized official

Mrs. Trinity Sharda Johnson, FNP
Owner
(662) 848-3656

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396567301

Divinity Healthcare Inc's National Provider Identifier is 1396567301, issued on Oct 30, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Point, MS. The record was last updated on Apr 7, 2025.