Individual provider · Type 1 NPI

Elmina Johnson

Family Nurse Practitioner · Jackson, MS

NPI number 1891736260 Active

Practice location

3502 W Northside Dr
Jackson, MS 39213-4454

Fax (601) 364-2600

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR133690 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1891736260

Elmina Johnson's National Provider Identifier is 1891736260, issued on Jun 9, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Jul 9, 2007.