Lavern Banks Johnson NURSE

NPI 1144546516 - Registered Nurse - 163W00000X

NPI Details
NPI 1144546516
Gender Female
Enumeration Date 04/10/2010
Last Updated 04/10/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4889 GRAZELAND CV
OLIVE BRANCH MS, 38654-8749, US
Phone (901) 652-4304
Fax
Business Location
4889 GRAZELAND CV
OLIVE BRANCH MS, 38654-8749, US
Phone (901) 652-4304
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Mississippi
License Number R124392
Remove 1144546516 NPI Number
 

According to our database, Mrs. Lavern Banks Johnson NURSE NPI is 1144546516, taxonomy code is 163W00000X and license number is R124392, license state is located at Mississippi. Lavern Banks Johnson NURSE physically located at 4889 Grazeland Cv, Olive Branch MS, 38654-8749. NPI Number Lavern Banks Johnson NURSE has the Individual type.

Sponsored links

1144546516 NPI number is provided on an as is basis without warranty of any kind. 1144546516 is maintained by the National Plan & Provider Enumeration System. The contents of Lavern Banks Johnson NURSE are for informational purposes only.