NPI 1891452843
Latauris Johnson
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
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.