MRS. REBECCA KAY JOHNSON AGNP-C
NPI 1447809280
Nurse Practitioner in Jackson, MS

Q: What is Rebecca Johnson's NPI number?

The NPI number for Rebecca Johnson is 1447809280. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Q: What is Rebecca Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Johnson was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 04, 2019

1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2023, Sep 4, 2019 (2 updates tracked since 2019).

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About Mrs. Rebecca Kay Johnson Agnp-c NPPES

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

MRS. REBECCA KAY JOHNSON AGNP-C (NPI 1447809280) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (903507) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1447809280

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. REBECCA KAY JOHNSONCredential: AGNP-C

Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116

Mailing Address8079 Harmony RdCrystal Springs, MS 39059-9249 · (601) 327-9088

Phone(601) 362-4471

Sole ProprietorNo

Enumeration DateSeptember 4, 2019

Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration

NPPES CertifiedAugust 22, 2023

✔ NPI 1447809280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · 903507

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 903507 (MS)

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