NPI 1477436129

Shakyla Johnson

Practitioner Other Technician Madison, MS

Practice location

Address: 272 Calhoun Station Parkway Suite C, Madison, MS 39110
Phone: (662) 374-1598
Mailing address: 3019 Highway 82 E APT 5d, Greenwood, MS 38930-6062

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Mississippi →

Registry record

NPI: 1477436129
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2025
Record last updated: 30 Jul 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.