Lookup NPI Numbers from the NPI Registry
NPI Profile for CASSANDRA AMOS JOHNSON in BROOKHAVEN, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI # | 1356856561 |
|
| Status | Active | |
| Credentials | FNP-C (Family Nurse Practitioner, Certified) | |
| Entity | Individual | |
| Enumeration date | 12/11/2017 | |
| Last updated | 09/21/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CASSANDRA AMOS JOHNSON, FNP-C