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MS. PHYLLIS POLK JOHNSON FNP
NPI 1073531091
Nurse Practitioner - Family in Jackson, MS

Active since July 17, 2006
1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471(601) 368-4479 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Phyllis Polk Johnson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PHYLLIS POLK JOHNSON FNP (NPI 1073531091) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R574848) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1073531091
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. PHYLLIS POLK JOHNSONCredential: FNP
Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116
Mailing Address1542 Fairwood DrJackson, MS 39213-7915 · (601) 366-2768
Phone(601) 362-4471
Fax(601) 368-4479
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073531091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R574848
1500 E WOODROW WILSON AVE, Jackson, MS 39216
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ALLENE GRAIG RN
Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
DR. ELIZABETH NOSEN PH.D.
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
WHITNEY ROWELL GERBER
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1352
MS. SANDRA TERRY-TURNER RPH
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MR. GLENN D SHAW R.PH.
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1555
MRS. ANGELA A. CAUSEY MS, RD
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
SONNY MONTGOMERY V A M EDICAL CENTER
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MRS. MOLLY WILLIS HOKE LCSW
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 352-4471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Johnson's NPI number?

The NPI number for Phyllis Johnson is 1073531091. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Phyllis Johnson located?

Phyllis Johnson practices at 1500 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is Phyllis Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Phyllis Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.