Carolyn S Johnson, FNP
Registered Nurse, Hospice in Indianola, MS. Individual provider (NPI-1).
NPI number1669975587
StatusActive
Last updated in NPPESMar 16, 2018
Details
- NPI
- 1669975587
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carolyn S Johnson
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2018
- Last updated
- Mar 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH1000X | Registered Nurse, Hospice | R800714 | MS | Yes |
Other names
- Carolyn S Johnson (Professional Name)
Practice location
1027 French RdIndianola, MS 38751-9605
Phone 662-466-0330 · Fax 662-756-0931
Mailing address
1027 French RdIndianola, MS 38751-9605
Phone 662-466-0330 · Fax 662-756-0931
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