NPI 1073232369
Jessie Johnson
Practice location
- Address
- 604 Highway 80 W STE R, Clinton, MS 39056-4108
- Phone
- (601) 473-2106
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1073232369
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Aug 2022
- Record last updated
- 14 Nov 2025
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.