NPI 1023869831

Kathleen Nicole Johnson, MD

Practitioner Plastic Surgery Physician Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-1000

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence T-5493 (MS)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1023869831
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2024
Record last updated: 1 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.