STEPHEN D JOHNSON

JACKSON, MS
NPI1598068892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  r863721)
Enumeration Date2010-12-09
Last Update Date2012-04-19
Business Address
-- STEPHEN D JOHNSON FNP
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-2000
Mailing Address
-- STEPHEN D JOHNSON FNP
813 WEDGEWOOD CT
BRANDON, MS 39047-6366
Phone number: 601-665-4355
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