Mrs Patsy Johnson, CFNP is a
Nurse Practitioner - Family based in Rolling Fork, Mississippi. Mrs Patsy Johnson is licensed to practice in Mississippi (license number R559784) and her current practice location is
29 S Fourth St, Rolling Fork, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 873-4361.
NPI number for Mrs Patsy Johnson is 1144245671 and her current mailing address is Po Box 520, Rolling Fork, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144245671.
Provider's Profile
| Full Name | Mrs Patsy Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 29 S Fourth St, Rolling Fork, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144245671
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Patsy Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144245671 | NPI | - | NPPES |
| 00118165 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R559784 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Patsy Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Patsy Johnson, CFNP
Po Box 520,
Rolling Fork, MS 39159-0520
Ph: (662) 873-4361 | Mrs Patsy Johnson, CFNP
29 S Fourth St,
Rolling Fork, MS 39159-5146
Ph: (662) 873-4361 |
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