Kelly Johnson, CPNP

Individual Active
NPI 1578048823
Critical Care Pediatric Nurse Practitioner Jackson, MS

Kelly Johnson, CPNP holds NPI 1578048823, with a primary taxonomy of critical care pediatric nurse practitioner and a practice location in Jackson, MS. The number was issued on October 2, 2018 and the NPPES record was last updated on October 24, 2018. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2018. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X 902965 (MS)
Pediatrics Physician 208000000X 902965 (MS)

Practice location

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-9291

Local context

Active NPPES records list 14 providers with critical care pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 15 in Mississippi and 1,209 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Kelly Jarvis Johnson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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