| Nekesha Micole Johnson, FNP-BC | |
|
960 J K Avent Drive, Grenada, MS 38901 | |
| (662) 227-7375 | |
| Not Available |
| Full Name | Nekesha Micole Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 960 J K Avent Drive, Grenada, 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 |
|---|---|---|---|
| 1710648050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905012 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Mississippi Pllc | 3678832029 | 170 |
| Entity Name | Tallahatchie General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679733497 PECOS PAC ID: 1052208097 Enrollment ID: O20040303000646 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841620846 PECOS PAC ID: 1850293036 Enrollment ID: O20140422001853 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Nekesha Micole Johnson, FNP-BC 1100 College St, Columbus, MS 39701-5821 Ph: () - | Nekesha Micole Johnson, FNP-BC 960 J K Avent Drive, Grenada, MS 38901 Ph: (662) 227-7375 |
Mrs. Agnes Pamela Upchurch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Sunset Dr, Ste B, Grenada, MS 38901 Phone: 662-229-0669 Fax: 662-227-9929 | |
Anna Cooper, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Van Dorn St Ste A, Grenada, MS 38901 Phone: 662-226-0325 | |
Mrs. Ashley Nicole Woods, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Broadfield Dr, Grenada, MS 38901 Phone: 662-809-2419 | |
Latia Monanette Butts, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-294-9101 Fax: 662-294-9104 | |
Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 Grandview Dr, Grenada, MS 38901 Phone: 662-227-3700 Fax: 662-227-3740 | |
Alison Campbell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr Ste 104, Grenada, MS 38901 Phone: 662-226-0110 | |
Ralph T Cain, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-294-9101 Fax: 662-294-9104 |