Whalio Doctors

NPI 1891452843

Latauris Johnson

Practitioner Adult Companion Jackson, MS

Practice location

Address
405 Briarwood Dr, Jackson, MS 39206-3052
Phone
(601) 345-1780
Fax
(601) 510-9134
Mailing address
89 Nate Rd, Lake, MS 39092-3502

Registered specialties

Adult Companion Primary
Nursing Service Related Providers Taxonomy 372600000X

Registry record

NPI
1891452843
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Nov 2021
Record last updated
24 Nov 2021

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.