Johnson, William Dwight

Johnson, William Dwight is an individual health care provider with primary practice located at 613 Marquette Drive , Brandon MS 39042. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Johnson, William Dwight can be contacted via phone (601) 824-0342.

Contact Information

Primary practice address
613 Marquette Drive Brandon MS 39042
Phone: (601) 824-0342
Fax: (601) 824-0349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R857199 Mississippi

Profile Details

NPI number 1669586996
LBN Legal business name Johnson, William Dwight
Credentials CFPMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669586996 NPPES
Mississippi MEDICAID 01880504

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