Nicole Lynn Johnson, CFNP | |
15476 Dedeaux Rd, Gulfport, MS 39503-2637 | |
(228) 230-2663 | |
(228) 679-3038 |
Full Name | Nicole Lynn Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 15476 Dedeaux Rd, Gulfport, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578951240 | NPI | - | NPPES |
05855337 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R878829 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | R878829 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Singing River Health System | Pascagoula, MS | Hospital |
Merit Health Biloxi | Biloxi, MS | Hospital |
Garden Park Medical Center | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bienville Orthopaedic Specialists, Llc | 0547155178 | 47 |
Entity Name | Bienville Orthopaedic Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689605834 PECOS PAC ID: 0547155178 Enrollment ID: O20040220000834 |
Mailing Address | Practice Location Address |
---|---|
Nicole Lynn Johnson, CFNP 6300 E Lake Blvd, Vancleave, MS 39565-6770 Ph: (228) 230-2663 | Nicole Lynn Johnson, CFNP 15476 Dedeaux Rd, Gulfport, MS 39503-2637 Ph: (228) 230-2663 |
Brittany Nicole Coleman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503 Phone: 228-575-2176 | |
Tracy Leigh Ladner, C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000 | |
Heather Lyn Jeffrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000 | |
Mrs. Leigh P Drace, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507 Phone: 228-896-4417 Fax: 228-604-0121 | |
Ashley Barq House, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598 | |
Mrs. Carla Ann Rushing, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000 | |
Mrs. Michelle Wright Taylor, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503 Phone: 228-539-3356 |