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SAMMY VAUN JOHNSON AGACNP
NPI 1750800967
Nurse Practitioner - Acute Care in Jackson, MS

Active since September 19, 2017
2500 N STATE ST, JACKSON, MS 39216(601) 815-9617 Get Directions Write a Review

NPPES record last updated: September 19, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sammy Vaun Johnson Agacnp NPPES

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

SAMMY VAUN JOHNSON AGACNP (NPI 1750800967) is an individual acute care provider in Jackson, Mississippi, licensed in Mississippi (902237) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1750800967
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameSAMMY VAUN JOHNSONCredential: AGACNP
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500
Phone(601) 815-9617
Sole ProprietorNo
Enumeration DateSeptember 19, 2017
✔ NPI 1750800967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MS · 902237
2500 N STATE ST, 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.

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

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 Sammy Johnson's NPI number?

The NPI number for Sammy Johnson is 1750800967. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Sammy Johnson located?

Sammy Johnson practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 815-9617.

What is Sammy Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Sammy Johnson was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.