Johnson, Mary Ann
Johnson, Mary Ann is an sole proprietor health care provider with primary practice located at 1883 Highway 43 S Suite E, Canton MS 39046-8405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Mary Ann can be contacted via phone (601) 407-1137.Contact Information
Primary practice address
1883 Highway 43 S Suite E
Canton MS 39046-8405
Phone: (601) 407-1137
Fax: (601) 407-1137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R688916 | Mississippi |
Profile Details
| NPI number | 1699851634 |
|---|---|
| LBN Legal business name | Johnson, Mary Ann |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Nov 7th, 2012 - about 13 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 | 1699851634 | NPPES |
| Mississippi | MEDICAID | 00124595 |
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