Johnson, Alicon Kathleen

Johnson, Alicon Kathleen is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Johnson, Alicon Kathleen can be contacted via phone (601) 214-9206.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 214-9206
Fax: (601) 984-4214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X R862571 Mississippi

Profile Details

NPI number 1265796981
LBN Legal business name Johnson, Alicon Kathleen
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Jun 27th, 2012 - about 12 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.

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