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DR. JOHNNIE SUSAN COOPER WIJEWARDANE PHD, FNP
NPI 1316196850
Nurse Practitioner - Family in Starkville, MS

Active since September 09, 2008
1430 CEDAR CREEK LN, STARKVILLE, MS 39759(662) 312-1021 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Johnnie Susan Cooper Wijewardane Phd, Fnp NPPES

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

DR. JOHNNIE SUSAN COOPER WIJEWARDANE PHD, FNP (NPI 1316196850) is an individual family provider in Starkville, Mississippi, licensed in Mississippi (R852708) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1316196850
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JOHNNIE SUSAN COOPER WIJEWARDANECredential: PHD, FNP
Location Address1430 CEDAR CREEK LNStarkville, MS 39759-8488
Mailing Address1430 Cedar Creek LnStarkville, MS 39759-8488 · (662) 312-1021
Phone(662) 312-1021
Sole ProprietorYes
Enumeration DateSeptember 9, 2008
Last NPPES UpdateMarch 15, 2012
✔ NPI 1316196850 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 · R852708
1430 CEDAR CREEK LN, Starkville, MS 39759
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Other Identifiers 1

Medicaid04887214MS

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 Johnnie Wijewardane's NPI number?

The NPI number for Johnnie Wijewardane is 1316196850. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Johnnie Wijewardane located?

Johnnie Wijewardane practices at 1430 Cedar Creek Ln, Starkville, MS 39759. The listed phone number is (662) 312-1021.

What is Johnnie Wijewardane'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 Johnnie Wijewardane was last updated on March 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.