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Search › Mississippi › 363LA2200X

Brandi Johnston, NURSE PRACTITIONER

NPI 1497271415 · on the registry since 2017 · sole proprietor

Practice

Address
1200 North State Street
Suite 420
Jackson, MS 39202
Phone
(601) 355-3353
Organisation at this address
Jea Optical Llc
Bloom Health Services For Women
Impact Behavioral Counseling Llc
Medical Foundation Of Central Ms Inc
Medical Foundation Of Central Ms Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
94

Additional practice sites

  • 1225 N State St, Jackson, MS
  • 1225 N State St, Jackson, MS
  • 1200 North State Street, Jackson, MS

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363LG0600X
363LP2300X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

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