Phyllis Polk Johnson in Jackson - Family
Phyllis Polk Johnson - NPI 1073531091
Phyllis Polk Johnson is a Family in Jackson, Mississippi. Phyllis Polk Johnson practices all healthcare services and medical treatments related to Family. The NPI Number for Phyllis Polk Johnson is 1073531091. The last update date is 2007-07-08.
Phyllis Polk Johnson's current location address is 1542 Fairwood Dr, Jackson, Mississippi. You can contact this provider via phone number 6013662768. The mailing address for Phyllis Polk Johnson is 1542 Fairwood Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Polk Johnson |
|---|---|
| Address | 1542 Fairwood Dr, Jackson, Mississippi |
| Phone Number | 6013662768 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1073531091 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1542 Fairwood Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392137915 |
| Phone Number | 6013662768 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R574848 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identifier code issued to Phyllis Polk Johnson by the Centers for Medicare & Medicaid Services?
The Phyllis Polk Johnson has been assigned the NPI (National Provider Identifier) 1073531091. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Phyllis Polk Johnson's physical address?
The Phyllis Polk Johnson is physically located at 1542 Fairwood Dr, in the city of Jackson, MS, with the postal code 392137915.
What is Phyllis Polk Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phyllis Polk Johnson is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date was the 1073531091 assigned to Phyllis Polk Johnson?
The Phyllis Polk Johnson was issued its 1073531091 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Phyllis Polk Johnson's information last updated?
The Phyllis Polk Johnson's information was last updated on 2007-07-08.
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