Individual provider · Type 1 NPI
William Dwight Johnson, CFPMHNP
Psychiatric/Mental Health Nurse Practitioner · Brandon, MS
NPI number
1669586996
Active
Practice location
613 Marquette Drive
Brandon, MS 39042
Fax (601) 824-0349
Mailing address
PO Box 88
Brandon, MS 39043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R857199 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1669586996
William Dwight Johnson, CFPMHNP's National Provider Identifier is 1669586996, issued on Aug 17, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brandon, MS. The record was last updated on Jul 8, 2007.