Mrs Martha J Johnson, FNP | |
1220 Jefferson St, Laurel, MS 39440-4355 | |
(601) 426-4507 | |
(601) 426-4228 |
Full Name | Mrs Martha J Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1220 Jefferson St, Laurel, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700827250 | NPI | - | NPPES |
00114833 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R552992 (Mississippi) | Primary |
Entity Name | South Central Clinics, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
Mailing Address | Practice Location Address |
---|---|
Mrs Martha J Johnson, FNP Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6167 | Mrs Martha J Johnson, FNP 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 426-4507 |
Kayla Marie Cooley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 W 12th St, Laurel, MS 39440 Phone: 601-369-2028 | |
Cynthia Lynn Bean, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 | |
Illisia Marie Johnston, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 N 15th Ave, Laurel, MS 39440 Phone: 601-426-5125 | |
Cynthia Dianne Arnold-spruill, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 424 S 13th Ave, Laurel, MS 39440 Phone: 601-649-5990 Fax: 601-425-7510 | |
Mrs. Elisa Rene Hillman, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 | |
Tiffany Lauren Hilbun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 319 S 13th Ave, Laurel, MS 39440 Phone: 601-426-2140 Fax: 601-340-3220 | |
Mrs. Jessica Watson Lott, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 S 13th Ave, Laurel, MS 39440 Phone: 601-425-5544 Fax: 601-425-5525 |