Johnson, Sammy Vaun

Johnson, Sammy Vaun is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Johnson, Sammy Vaun can be contacted via phone (601) 815-9617.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-9617
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 902237 Mississippi

Profile Details

NPI number 1750800967
LBN Legal business name Johnson, Sammy Vaun
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2017
Last updated Sep 19th, 2017 - about 9 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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