Jessica Johnson, CPHT

NPI 1528416229 · on the registry since 2016

Practice

Address: 110 Metroplex Blvd
Suite H
Pearl, MS 39208
Phone: (601) 664-1664
Fax: (601) 664-1661
Organisation at this address: Ccms Pharmacy Llc
Tara Pharmacy Se Llc
The Pediatric Dental Studio, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 183700000X
183700000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-06-03

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