Jordan Johnson

NPI 1396114351 · on the registry since 2015

Practice

Address: 146 S Thomas St Ste E
Tupelo, MS 38801
Phone: (662) 840-0974
Fax: (662) 840-0388
Organisation at this address: Elderscript Services Llc
Twin States Infusion, Llc
Twin States Infusion, Llc
Autism Center Of North Mississippi, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 20

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-09-21

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