SearchMississippiFamily Nurse Practitioner

Illisia Johnston, NP-C

NPI 1003486556 · on the registry since 2021 · sole proprietor

Practice

Address
1008 N 15th Ave
Laurel, MS 39440
Phone
(601) 426-5125
Organisation at this address
South Central Clinics, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi