Pandora Johnson
Non-emergency Medical Transport (VAN) in Biloxi, MS. Individual provider (NPI-1).
NPI number1588967897
StatusActive
Last updated in NPPESJul 14, 2023
Details
- NPI
- 1588967897
- Entity type
- Individual (NPI-1)
- Name
- Ms. Pandora Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2010
- Certification date
- Jul 14, 2023
- Last updated
- Jul 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | MS | Yes |
| 347C00000X | Private Vehicle | 347c00000x | MS | |
| 253Z00000X | In Home Supportive Care | 253z00000x | MS |
Other names
- N/A N/A (Former Name)
Practice location
1636 Popps Ferry Rd Ste 110Biloxi, MS 39532-2276
Phone 228-380-2370 · Fax 228-331-0367
Mailing address
Po Box 6494Gulfport, MS 39506-6494
Phone 228-380-2370 · Fax 228-331-0367
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