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NPI Verification

National Provider Identifier: 1356856561

Cassandra Amos- Johnson, Fnp-C

Individual Provider

Credentials

FNP-C

Primary Specialty

Nurse Practitioner, Family

Code: 363LF0000X

All Specialties (2)

Nurse Practitioner, Family

Code: 363LF0000X

Primary

Family Medicine, Adult Medicine

Code: 207QA0505X

Practice Address

503 SILVER CROSS DR

BROOKHAVEN, MS 396012388

Phone: 601-833-2361

NPI Enumeration Date

December 11, 2017

NPI Number

1356856561

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry