Johnson, Kelly Jarvis

Johnson, Kelly Jarvis is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care is her primary health care specialty. Johnson, Kelly Jarvis can be contacted via phone (601) 815-9291.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-9291
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 902965 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 902965 Mississippi

Profile Details

NPI number 1578048823
LBN Legal business name Johnson, Kelly Jarvis
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2018
Last updated Oct 24th, 2018 - about 6 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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