Dean, Cynthia Johnson
Dean, Cynthia Johnson is an individual health care provider with primary practice located at 1080 River Oaks Dr Ste B103 , Flowood MS 39232-7602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dean, Cynthia Johnson can be contacted via phone (601) 366-1011.Contact Information
Primary practice address
1080 River Oaks Dr Ste B103
Flowood MS 39232-7602
Phone: (601) 366-1011
Fax: (601) 932-6111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R853619 | Mississippi |
Profile Details
| NPI number | 1205870706 |
|---|---|
| LBN Legal business name | Dean, Cynthia Johnson |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Aug 18th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205870706 | NPPES |
| Mississippi | MEDICAID | 03631264 |
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