| Mary Elizabeth Johnson, WHNP-BC | |
|
120 Stone Creek Blvd Ste 200, Flowood, MS 39232-8210 | |
| (601) 822-2294 | |
| (601) 793-4273 |
| Full Name | Mary Elizabeth Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 120 Stone Creek Blvd Ste 200, Flowood, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811603921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 918717 (Mississippi) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 906992 (Mississippi) | Primary |
| Entity Name | Urogynecology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649981846 PECOS PAC ID: 5395102727 Enrollment ID: O20230531000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Elizabeth Johnson, WHNP-BC 1008 Shiloh Run Dr, Crystal Springs, MS 39059-8758 Ph: () - | Mary Elizabeth Johnson, WHNP-BC 120 Stone Creek Blvd Ste 200, Flowood, MS 39232-8210 Ph: (601) 822-2294 |
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034 | |
Lelouise Tindall Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Layfair Dr, Ste 120, Flowood, MS 39232 Phone: 601-932-0238 Fax: 601-200-4698 | |
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 | |
Jessica N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Stone Creek Blvd, Flowood, MS 39232 Phone: 769-243-6141 | |
Jane Denton Desper, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000 | |
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740 |