NPI 1376947457

Tamika Johnson

Practitioner Adult Companion Tupelo, MS

Practice location

Address: 158 Mattox Rd, Tupelo, MS 38801-9140
Phone: (662) 308-8326
Mailing address: PO Box 1352, Verona, MS 38879-1352

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Registry record

NPI: 1376947457
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2014
Record last updated: 17 Oct 2014

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.