Individual provider · Type 1 NPI

Brandi Davis Johnston, NURSE PRACTITIONER

Adult Health Nurse Practitioner · Jackson, MS

NPI number 1497271415 Active

Practice location

1200 North State Street, Suite 420
Jackson, MS 39202

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice locations

  • 1225 N State St, Jackson, MS 39202-2064 · (601) 968-1000
  • 1225 N State St, Jackson, MS 39202-2064 · (601) 968-1000
  • 1200 North State Street, Suite 420, Jackson, MS 39202 · (601) 355-3353

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X902163 (MS)
Primary Care Nurse Practitioner 363LP2300X902163 (MS)
Adult Health Nurse Practitioner Primary 363LA2200X902163 (MS)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1497271415

Brandi Davis Johnston, NURSE PRACTITIONER's National Provider Identifier is 1497271415, issued on Aug 22, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jackson, MS. The record was last updated on Mar 17, 2018.