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Contact Information

NEKESHA M JOHNSON, FNP-BC
960 J K AVENT DRIVE
GRENADA, MS38901
 Phone: 662-227-7375
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NEKESHA M JOHNSON · (Female)

NPI Number 1710648050
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 01/08/2022
Last updated 01/08/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 905012
Hospital affiliation(s)
  • UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA - (Acute Care)
    960 AVENT DRIVE
    GRENADA, MS 38901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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