| Caryn Alison Johnson, FNP-BC, PMHNP-BC | |
|
3550 Highway 468 W, Whitfield, MS 39193-5529 | |
| (601) 351-8000 | |
| Not Available |
| Full Name | Caryn Alison Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3550 Highway 468 W, Whitfield, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841364528 | NPI | - | NPPES |
| 630575YKHV | Other | MS | MEDICARE |
| 04627304 | Medicaid | MS | |
| P02160922 | Other | MS | RAILROAD MEDICARE |
| R869964 | Other | MS | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R869964 (Mississippi) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R869964 (Mississippi) | Secondary |
| Entity Name | St. Dominic Jackson Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Caryn Alison Johnson, FNP-BC, PMHNP-BC 680 Highway 51 Ste D, Ridgeland, MS 39157-2103 Ph: (769) 251-1040 | Caryn Alison Johnson, FNP-BC, PMHNP-BC 3550 Highway 468 W, Whitfield, MS 39193-5529 Ph: (601) 351-8000 |
Mrs. Jackie C Dyess, C. A. P. M. H. N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301 | |
Jordan Reed, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-8000 | |
Ms. Sarah H Marshall, CFNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 Hwy 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8586 | |
Mrs. Kimberly Dawn Harrell, C. A. P. M. H. N. P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301 | |
Laura M Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-8000 | |
Ms. Sandra Rochelle Wilson, C.F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301 | |
Mrs. Chassity Nicole Vanderford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8586 |