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Search › Arkansas › 171M00000X

Jimmy Johnson

NPI 1104581263 · on the registry since 2021

Practice

Address
1501 Dawson Rd
Forrest City, AR 72335
Phone
(870) 630-2328
Organisation at this address
State Of Arkansas
Department Of Health
Department Of Health
Kids For The Future, Inc.
Kids For The Future, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-03

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 Arkansas