Shakyla Johnson

NPI #1477436129 in Madison, Mississippi

Provider Information

NPI Number: 1477436129
Entity Type: Individual
Name: Shakyla Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Jul 30, 2025
Last Updated: Jul 30, 2025

Practice Location

Address: 272 CALHOUN STATION PARKWAY
Address 2: SUITE C
City: Madison
State: Mississippi
ZIP Code: 39110
Phone: (662) 374-1598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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