Individual provider · Type 1 NPI

Charles David Johnson, AGACNP

Acute Care Nurse Practitioner · Hattiesburg, MS

NPI number 1437538410 Active

Practice location

6051 U S Highway 49
Hattiesburg, MS 39401-7200

Call (601) 288-7000 Map

Fax (601) 450-0518

Mailing address

15 Professional Pkwy Ste 126
Hattiesburg, MS 39402-2647

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XR875364 (MS)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1437538410

Charles David Johnson, AGACNP's National Provider Identifier is 1437538410, issued on May 24, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 28, 2023.