ANNALIESE JOHNSON

JACKSON, MS
NPI1184108177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: MS  902925)
Enumeration Date2018-09-17
Last Update Date2018-09-17
Business Address
ANNALIESE JOHNSON NP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-2001
Mailing Address
ANNALIESE JOHNSON NP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-2001