Wanda Johnson, BCFNP
NPI #1033420914 in Jackson, Mississippi
Provider Information
- NPI Number
- 1033420914
- Entity Type
- Individual
- Name
- Wanda Johnson, BCFNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- BCFNP
- Enumeration Date
- Jun 25, 2010
- Last Updated
- Jun 25, 2010
Practice Location
- Address
- 350 W WOODROW WILSON AVE
- Address 2
- SUITE 411
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39213-7681
- Phone
- (601) 364-2666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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