NPI 1609311802

Marcus L Johnson, CRNA

Practitioner Certified Registered Nurse Anesthetist Brookhaven, MS

Practice location

Address: 427 Highway 51 N, Brookhaven, MS 39601-2350
Phone: (601) 833-6011

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 901412 (MS)

Other Nurse Anesthetist, Certified Registered providers in Mississippi →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 891211 (MS)

Other Registered Nurse providers in Mississippi →

Registry record

NPI: 1609311802
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Dec 2016
Record last updated: 23 Dec 2016

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.